Organization
EYE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA SONG MD (PRESIDENT/CEO)
(847) 922-2288
Entity
Organization
Contact information
Practice address
1111 S FAIR OAKS AVE, PASADENA, CA 91105-3415
(847) 922-2288
(562) 427-2525
Mailing address
PO BOX 2020, MANHATTAN BEACH, CA 90267-2020
(847) 922-2288
(562) 427-2525
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A877530
—
CA
Enumeration date
07/23/2025
Last updated
07/23/2025
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