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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARETH HUANG SONG

Active Sole Proprietor

MR. GARETH HUANG SONG is a Gerontological Nurse Practitioner healthcare provider located in AZUSA, California. NPI 1356805717 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · AZUSA, CA

Registration Details

NPI Number
1356805717
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2019 (7.5841960220261 yrs)
Last Updated
Jan 29, 2019
Licenses
9510957 (CA)
9510957 (CA)
Sole Proprietor
Yes

Practice Information

Address
986 SWEETBRIAR LN UNIT A
AZUSA, CA, 917021569
Browse CA providers · Browse ZIP 91702
Phone
9093195838
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.