Ellen Song MD Inc.
NPI #1437340692 in Irvine, California
Provider Information
- NPI Number
- 1437340692
- Entity Type
- Organization
- Organization Name
- Ellen Song MD Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Aug 5, 2007
Practice Location
- Address
- 62 CORPORATE PARK
- Address 2
- SUITE 235
- City
- Irvine
- State
- California
- ZIP Code
- 92606-3122
- Phone
- (949) 748-8866
Authorized Official
- Name
- DR. ELLEN TERESA SONG, M.D.
- Title
- OWNER
- Phone
- (949) 748-8866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Internal Medicine |
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