Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gareth Huang Song

Individual provider Primary Care Nurse Practitioner · NPI 1356805717

Mr. Gareth Huang Song is a Primary Care Nurse Practitioner in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

986 Sweetbriar Ln Unit A
Azusa, CA 91702-1569
Phone: (909) 319-5838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 9510957 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 9510957 (CA)

Record details

NPI number1356805717
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 29, 2019

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