Organization
ALICE SONG M.D., A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE SONG M.D. (SURGEON)
(562) 427-5409
Entity
Organization
Contact information
Practice address
2650 ELM AVE, 108, LONG BEACH, CA 90806-1651
(562) 427-5409
(562) 426-6321
Mailing address
2650 ELM AVE, 108, LONG BEACH, CA 90806-1651
(562) 427-5409
(562) 426-6321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A87752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A877520
—
CA
Enumeration date
12/11/2007
Last updated
12/20/2007
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