Organization
CHAEWON SONG, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAEWON SONG (M.D.)
(714) 534-6516
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843-1901
(714) 534-6516
(714) 530-0582
Mailing address
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843-1901
(714) 534-6516
(714) 530-0582
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C52295
CA
Other
Enumeration date
11/09/2006
Last updated
11/07/2013
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