Organization
ABOUT U MD WELLNESS
Active
Other names
United MD Executive and Wellness Physical
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN SONG MD (PRESIDENT)
(714) 904-5594
Entity
Organization
Contact information
Practice address
5020 CAMPUS DR STE 200, NEWPORT BEACH, CA 92660-2111
(949) 757-1150
(949) 757-1170
Mailing address
20 SEA FAIR, NEWPORT BEACH, CA 92657-1912
(714) 904-5594
(949) 200-4506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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