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1730860388
ANDREW S SONG
LOS ANGELES, CA
NPI
1730860388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA63096)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
ANDREW S SONG
3561 SAN MARINO ST
LOS ANGELES, CA 90019-2324
Phone number: 213-440-2865
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Mailing Address
ANDREW S SONG
3561 SAN MARINO ST
LOS ANGELES, CA 90019-2324
Phone number: 213-440-2865
Copy
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