Organization
DAVID G SONG MD INC
Active
Parent organization
DAVID G SONG MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID G SONG MD INC
Authorized official
DAVID G SONG MD (CEO)
(626) 234-9178
Entity
Organization
Contact information
Practice address
5365 WALNUT AVENUE STE A, CHINO, CA 91710-9171
(909) 902-0009
Mailing address
2100 MONTEZUMA AVE, ALHAMBRA, CA 91803-3803
(626) 234-9178
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
07/02/2020
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