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Corey Song
NPI 1164842373 · on the registry since 2014
Practice
- Address
- 1753 E Appleton St Apt C
Long Beach, CA 90802 - Phone
- (213) 235-5425
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California