# BENJAMIN I SONG MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437242088
- **Authorized official:** DR. BENJAMIN SONG M.D. (PRESIDENT)
- **Authorized official phone:** (323) 456-7890

## Contact information

- **Practice address:** 1133 S CRENSHAW BLVD, LOS ANGELES, CA 90019
- **Practice address phone:** (323) 456-7890
- **Mailing address:** 1133 S CRENSHAW BLVD, LOS ANGELES, CA 90019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A36221 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020