Individual
SONG JULIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 VAN NESS AVE FL 6, SAN FRANCISCO, CA 94109-6978
(415) 600-5760
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
A168131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A168131
LICENSE
CA
Enumeration date
04/07/2016
Last updated
08/17/2021
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