Organization
SONG MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAE WON SONG MD (PRESIDENT /MD)
(714) 530-3740
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD STE 503, GARDEN GROVE, CA 92843-1919
(714) 530-3740
Mailing address
12665 GARDEN GROVE BLVD STE 503, GARDEN GROVE, CA 92843-1919
(714) 530-3740
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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