Organization
IC ORIENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEON HO SONG L.AC (CLINIC DIRECTOR)
(714) 771-3127
Entity
Organization
Contact information
Practice address
1327 E KATELLA AVE, ORANGE, CA 92867
(714) 771-3127
(714) 406-2817
Mailing address
1327 E KATELLA AVE, ORANGE, CA 92867
(714) 771-3127
(714) 406-2817
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC15886
CA
Other
Enumeration date
11/03/2014
Last updated
07/14/2015
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