Individual
MICHELLE MING SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 380, SANTA MONICA, CA 90404-2179
(281) 222-8332
Mailing address
1502 BROADWAY UNIT 212, SANTA MONICA, CA 90404-2320
(281) 222-8332
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10046312
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
R3757
TX
Other
Enumeration date
05/02/2013
Last updated
07/21/2022
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