JI SOO SONG

SANTA ANA, CA
NPI1619792900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-11-20
Last Update Date2024-11-21
Business Address
JI SOO SONG
1211 N BROADWAY
SANTA ANA, CA 92701-3411
Phone number: 888-367-1850
Mailing Address
JI SOO SONG
1211 N BROADWAY
SANTA ANA, CA 92701-3411
Phone number:
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