Individual
DR. DIANNE AGNES SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 E SPRING ST STE 1, LONG BEACH, CA 90806-1625
(562) 933-0050
(562) 933-0078
Mailing address
450 E SPRING ST STE 1, LONG BEACH, CA 90806-1625
(562) 933-0050
(562) 933-0078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A110239
CA
Other
Enumeration date
01/27/2010
Last updated
12/02/2021
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