Song, Erwin K

Song, Erwin K is an individual health care provider with primary practice located at 101 E Valencia Mesa Dr Em Dept, Fullerton CA 92835-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Song, Erwin K can be contacted via phone (714) 992-3965.

Contact Information

Primary practice address
101 E Valencia Mesa Dr Em Dept Fullerton CA 92835-3809
Phone: (714) 992-3965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A82182 California

Profile Details

NPI number 1154359024
LBN Legal business name Song, Erwin K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 11th, 2009 - about 15 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 1154359024 NPPES
California Other 00A821820 BLUE SHIELD
California MEDICAID 00A821820 BLUE SHIELD
California Other A82182 BLUE SHIELD

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