MR. Gareth Huang Song
NPI #1356805717 in Azusa, California
Provider Information
- NPI Number
- 1356805717
- Entity Type
- Individual
- Name
- MR. Gareth Huang Song
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Jan 29, 2019
Practice Location
- Address
- 986 SWEETBRIAR LN UNIT A
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1569
- Phone
- (909) 319-5838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Gerontology — Gerontology |
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