Song, Angie U.

Song, Angie U. is an sole proprietor health care provider with primary practice located at 1225 N H St , Lompoc CA 93436-3301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as her primary health care specialty. Song, Angie U. can be contacted via phone (805) 737-8700.

Contact Information

Primary practice address
1225 N H St Lompoc CA 93436-3301
Phone: (805) 737-8700
Fax: (805) 737-8649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 60136134 Washington
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X G84700 California

Profile Details

NPI number 1982605259
LBN Legal business name Song, Angie U.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated May 10th, 2019 - about 6 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 1982605259 NPPES
Texas MEDICAID 174028401
Texas Other 8S2230

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