Individual
YOUNG EUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W LA VETA AVE STE 300, ORANGE, CA 92868-4246
(714) 598-1745
(714) 941-9539
Mailing address
2101 CRESCENT OAK, IRVINE, CA 92618-4019
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP95010329
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95010329
CA
Other
Enumeration date
12/24/2018
Last updated
01/16/2025
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