Individual
CI SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E YALE LOOP STE 200, IRVINE, CA 92604-4697
(844) 315-2229
Mailing address
250 E YALE LOOP STE 200, IRVINE, CA 92604-4697
(844) 315-2229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005437
CA
Other
Enumeration date
05/18/2017
Last updated
02/12/2026
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