Individual
CHAO SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 W BEVERLY BLVD, MONTEBELLO, CA 90640-4308
(323) 726-1222
(626) 284-2696
Mailing address
309 W BEVERLY BLVD, MONTEBELLO, CA 90640-4308
(323) 726-1222
(626) 284-2696
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A97771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A977710
—
CA
01
—
P00398581
RAILROAD
CA
Enumeration date
01/18/2007
Last updated
05/18/2023
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