# TAE J SONG DPM INC

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

## Provider details

- **NPI number:** 1942519392
- **Authorized official:** DR. TAE J SONG DPM (PRESIDENT)
- **Authorized official phone:** (530) 244-0674

## Contact information

- **Practice address:** 1310 CONTINENTAL ST, REDDING, CA 96001-0839
- **Practice address phone:** (530) 244-0674
- **Practice address fax:** (530) 244-1033
- **Mailing address:** 1310 CONTINENTAL ST, REDDING, CA 96001-0839
- **Mailing address phone:** (530) 244-0674
- **Mailing address fax:** (530) 244-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4771 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/04/2010