Individual
JUNG SONG-LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
520 WST I STREET, LOS BANOS, CA 93635
(209) 826-0591
Mailing address
PO BOX 579120, MODESTO, CA 95357-9120
(209) 526-8038
(209) 526-6841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A37534
CA
Other
Enumeration date
10/17/2006
Last updated
03/13/2008
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