Individual
MR. ERIC SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 E WASHINGTON ST, COLTON, CA 92324-4621
(909) 887-2991
Mailing address
1850 E WASHINGTON ST, COLTON, CA 92324-4621
(909) 887-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21386
CA
Other
Enumeration date
12/28/2010
Last updated
07/18/2023
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