Song, Andrew K

Song, Andrew K is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Song, Andrew K can be contacted via phone (909) 580-1520.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-1520
Fax: (909) 580-1561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X A60632 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A60632 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X A60632 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A60632 California

Profile Details

NPI number 1851496996
LBN Legal business name Song, Andrew K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851496996 NPPES
California MEDICAID 00A606320
California Other A60632

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