Individual
ANDREW S SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3561 SAN MARINO ST, LOS ANGELES, CA 90019-2324
(213) 440-2865
Mailing address
3561 SAN MARINO ST, LOS ANGELES, CA 90019-2324
(213) 440-2865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63096
CA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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