Individual
DR. JOSEPH K SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7571 COMMONWEALTH AVE, BUENA PARK, CA 90621
(714) 539-2600
(714) 539-2611
Mailing address
7571 COMMONWEALTH AVE, BUENA PARK, CA 90621-2315
(714) 539-2600
(714) 539-2611
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G69832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G698320
—
CA
Enumeration date
10/23/2006
Last updated
10/09/2024
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