Organization
JAMES SONG MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H SONG M.D. (PRESIDENT)
(626) 581-8330
Entity
Organization
Contact information
Practice address
16404 COLIMA RD FL 1, 103A, HACIENDA HEIGHTS, CA 91745-5502
(626) 581-8330
(626) 581-8411
Mailing address
16404 COLIMA RD FL 1, HACIENDA HEIGHTS, CA 91745-5502
(626) 581-8330
(626) 581-8411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G75661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G756610
—
CA
Enumeration date
10/09/2006
Last updated
05/10/2016
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