Individual
EILEEN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7740 GARVEY AVE # B100-102, ROSEMEAD, CA 91770-3077
(626) 905-1464
Mailing address
7740 GARVEY AVE # B100-102, ROSEMEAD, CA 91770-3077
(626) 905-1464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95235561
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95025169
CA
Other
Enumeration date
05/09/2021
Last updated
11/07/2025
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