Individual provider · Type 1 NPI
Deborah Song, CPNP
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1184095911
Active
Practice location
808 W 58th St
Los Angeles, CA 90037-3632
Mailing address
15811 Rosalita Dr
La Mirada, CA 90638-4133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95003112 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1184095911
Deborah Song, CPNP's National Provider Identifier is 1184095911, issued on Oct 20, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 13, 2017.