Dr. Angie U. Song, M.D.
Otolaryngology, Otolaryngology/Facial Plastic Surgery in Lompoc, CA. Individual provider (NPI-1).
NPI number1982605259
StatusActive
Last updated in NPPESMay 10, 2019
Details
- NPI
- 1982605259
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angie U. Song
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2005
- Last updated
- May 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | G84700 | CA | Yes |
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 60136134 | WA |
Practice location
1225 N H StLompoc, CA 93436-3301
Phone 805-737-8700 · Fax 805-737-8649
Mailing address
3655 Evergreen Pt RdMedina, WA 98039
Phone 425-324-6144 · Fax 425-455-0045
Other practice locations
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