| Steven S Song, Md Professional Corp | |
|
2299 Mowry Ave Ste 3a Fremont CA 94538-1621 | |
| (510) 585-5233 | |
| Not Available |
| Full Name | Steven S Song, Md Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2299 Mowry Ave Ste 3a, Fremont, California |
| Authorized Official Name and Position | Steven Song (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105855233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven S Song, Md Professional Corp 2299 Mowry Ave Ste 3a Fremont CA 94538-1621 Ph: (510) 585-5233 | Steven S Song, Md Professional Corp 2299 Mowry Ave Ste 3a Fremont CA 94538-1621 Ph: (510) 585-5233 |
| NPI Number | 1619683182 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 03/19/2023 |
| Medicare PECOS PAC ID | 1557735941 |
|---|---|
| Medicare Enrollment ID | O20230327001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619683182 | NPI | - | NPPES |
| Provider Name | Steven Siya Song |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417342312 PECOS PAC ID: 1153678859 Enrollment ID: I20230327001904 |
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