Ellen T Song
ActiveCalifornia license A86825
License
- Licensed by
- Medical Board of California
- License number
- A86825
- Status
- Active (Current)
- First issued
- April 17, 2004
- Expires
- March 31, 2028
- License holder
- Ellen T Song
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
20072 SW Birch St Ste 100
Newport Beach, CA 92660-0794
Newport Beach, CA 92660-0794
Orange County