Individual
DR. CATHERINE SOOK SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 FLORIDA AVE, MODESTO, CA 95350-4408
(209) 574-1365
(209) 574-1372
Mailing address
1500 FLORIDA AVE, MODESTO, CA 95350-4408
(209) 543-7400
(209) 543-7403
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A71560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A715600
—
CA
01
—
3613034
MEDI-CAL
CA
Enumeration date
09/13/2005
Last updated
05/07/2024
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