Individual
DAVID SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5365 WALNUT AVE STE A, CHINO, CA 91710-2622
(909) 902-0009
(909) 206-0628
Mailing address
5365 WALNUT AVENUE STE A, CHINO, CA 91710-2622
(626) 234-9178
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2013018892
MO
Other
Enumeration date
07/01/2013
Last updated
04/10/2020
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