Individual
MR. EUGENE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2000
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22779
CA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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