| NPI | 1871844522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNG-YIL THOMAS SONG Md 858-571-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2025-08-05 |