Individual
MR. SONG SIAMENG JANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5131 NELLIE CT, RANCHO CUCAMONGA, CA 91739-5132
(213) 841-4181
Mailing address
13795 NIGHTINGALE CT, EASTVALE, CA 92880-5513
(909) 684-0025
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14795
CA
Other
Enumeration date
04/17/2007
Last updated
10/29/2023
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