NPI 1538269337

Soo Ja Song, CRNA

Practitioner Chore Provider Long Beach, CA

Practice location

Address: 2776 Pacific Ave, Long Beach, CA 90806-2613
Phone: (714) 935-0073
Fax: (714) 935-0075
Mailing address: P.O. Box 22678, Long Beach, CA 90801-2678

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence CRNA672 (CA)

Other Chore Provider providers in California →

Registry record

NPI: 1538269337
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.