Individual
ALBERT SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3274
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
10/25/2024
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