Individual
DR. KAREN B. SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1941 JOHNSON AVE STE 301, SAN LUIS OBISPO, CA 93401-4175
(805) 786-4111
(805) 543-6357
Mailing address
1941 JOHNSON AVE STE 301, SAN LUIS OBISPO, CA 93401-4175
(805) 786-4111
(805) 543-6357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2014020947
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
A107061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356632947
—
MO
Enumeration date
04/29/2011
Last updated
12/24/2024
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