Individual provider · Type 1 NPI

Bonnie Song

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1609519974 Active

Practice location

1200 N State Street, Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029

Call (520) 271-1890 Map

Mailing address

6082 N Paseo Zaldivar
Tucson, AZ 85750-1293

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609519974

Bonnie Song's National Provider Identifier is 1609519974, issued on Apr 15, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 15, 2022.