Organization
BYRON T SONG, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LEE SONG RN (CORP. SECRETARY)
(626) 963-1627
Entity
Organization
Contact information
Practice address
415 W CARROLL AVE, SUITE 202, GLENDORA, CA 91741-4208
(626) 963-1627
(626) 963-0467
Mailing address
415 W CARROLL AVE, SUITE 202, GLENDORA, CA 91741-4208
(626) 963-1627
(626) 963-0467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A21194
CA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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