Individual provider · Type 1 NPI

Kayla Song, DPM

Foot & Ankle Surgery Podiatrist · Loma Linda, CA

NPI number 1316467152 Active

Practice location

11201 Benton St # 112G
Loma Linda, CA 92357-3570

Call (909) 825-7084 Map

Mailing address

11201 Benton St
Loma Linda, CA 92357-1000

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE5549 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1316467152

Kayla Song, DPM's National Provider Identifier is 1316467152, issued on Jun 22, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Loma Linda, CA. The record was last updated on Oct 21, 2020.