Song, James J.

Song, James J. is an sole proprietor health care provider with primary practice located at 2299 Mowry Ave Suite 3A, Fremont CA 94538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Song, James J. can be contacted via phone (510) 713-9898.

Contact Information

Primary practice address
2299 Mowry Ave Suite 3A Fremont CA 94538
Fax: (510) 280-7279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X AO68524 California

Profile Details

NPI number 1245341700
LBN Legal business name Song, James J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245341700 NPPES
California MEDICAID 00A685240

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