Individual
JEEEUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 W SUNSET BLVD, LOS ANGELES, CA 90026-4227
(213) 341-1411
Mailing address
1634 W SUNSET BLVD, LOS ANGELES, CA 90026-4227
(213) 341-1411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
83278
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
83278
CA
Other
Enumeration date
11/14/2020
Last updated
05/16/2025
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