CHAEWON SONG MD INC
Suppliers at Garden Grove Blvd, Garden Grove, CA

License number
California C52295
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: VP OPS
Phone: (858) 964-1506
Address
Address 2
12665 Garden Grove Blvd, Garden Grove, CA 92843
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1548518764
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHAEWON SONG MD INC at bizstanding.com

CHAEWON SONG, MD, INC

9465 Gdn Grv Blvd STE 200, Garden Grove, CA 92844

Registration:
Oct 30, 2006
State ID:
C2957208
Business type:
Articles of Incorporation
President:
Chaewon Song (President)

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