Song, Bo
Song, Bo is an individual health care provider with primary practice located at 2720 N Harbor Blvd Suite 130, Fullerton CA 92835-2609. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Song, Bo can be contacted via phone (714) 449-6200.Contact Information
Primary practice address
2720 N Harbor Blvd Suite 130
Fullerton CA 92835-2609
Phone: (714) 449-6200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA19789 | California |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA19789 | California |
Profile Details
NPI number | 1538488101 |
---|---|
LBN Legal business name | Song, Bo |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2010 |
Last updated | Dec 9th, 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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