License Directory

Ellen T Song

Active

California 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

More from the license record

License type code
8002

Contact

20072 SW Birch St Ste 100
Newport Beach, CA 92660-0794
Orange County