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Organization

CENTER FOR OCULOFACIAL AND ORBITAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALICE SONG M.D. (OPHTHALMOLOGY OCULOPLASTICS)
(312) 282-2982
Entity
Organization

Contact information

Practice address
2888 LONG BEACH BLVD, 235, LONG BEACH, CA 90806-1530
(562) 427-0700
(562) 427-2525
Mailing address
PO BOX 3187, CERRITOS, CA 90703-3187
(312) 282-2982

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
12/18/2007
Last updated
12/24/2009
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