David G Song MD INC

NPI #1457997645 in Chino, California

Provider Information

NPI Number: 1457997645
Entity Type: Organization
Organization Name: David G Song MD INC
Subpart: Yes (part of a larger organization)
Parent Organization: DAVID G SONG MD INC
Primary Specialty: Urology
Enumeration Date: Nov 21, 2019
Last Updated: Jul 2, 2020

Practice Location

Address: 5365 WALNUT AVENUE STE A
City: Chino
State: California
ZIP Code: 91710-9171
Phone: (909) 902-0009

Authorized Official

Name: DAVID G SONG, MD
Title: CEO
Phone: (626) 234-9178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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