Organization
WHOLE CHILD WELLNESS, INC
Active
Organization
WHOLE CHILD WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA SONG M.D. (PRESIDENT)
(650) 595-5437
Entity
Organization
Contact information
Practice address
1601 EL CAMINO REAL, SUITE 101, BELMONT, CA 94002-3948
(650) 595-5437
(650) 595-5438
Mailing address
1601 EL CAMINO REAL, SUITE 101, BELMONT, CA 94002-3948
(650) 595-5437
(650) 595-5438
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
208000000X
Pediatrics Physician
A64193
CA
208000000X
Pediatrics Physician
A68766
CA
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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