Individual
DR. ANDREW SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11175 CAMPUS ST, A1117, LOMA LINDA, CA 92350-1700
(323) 268-5000
Mailing address
11175 CAMPUS ST, A1117, LOMA LINDA, CA 92350-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A10661
CA
Other
Enumeration date
02/08/2008
Last updated
02/11/2017
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