Individual
MS. SOO JA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(714) 935-0073
(714) 935-0075
Mailing address
P.O. BOX 22678, LONG BEACH, CA 90801-2678
(714) 935-0073
(714) 935-0075
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
CRNA672
CA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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