Individual
DR. TARA ELENA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8110 WOODMAN AVE, DEPT OF HEAD AND NECK SURGERY, PANORAMA CITY, CA 91402
(818) 375-2732
Mailing address
8110 WOODMAN AVE, DEPT OF HEAD AND NECK SURGERY, PANORAMA CITY, CA 91402
(303) 324-4690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A125132
CA
Other
Enumeration date
04/05/2011
Last updated
09/08/2016
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