Individual
KIT M SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3160 GENEVA STREET, SHRINERS HOSPITALS FOR CHILDREN LOS ANGELES, LOS ANGELES, CA 90020
(213) 368-3338
(213) 368-3314
Mailing address
PO BOX 8500, LOCKBOX 7642, SHRINERS HOSPITALS FOR CHILDREN, PHILADELPHIA, PA 19178-7642
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00024272
WA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD00024272
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7115
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8186215
—
WA
Enumeration date
10/17/2006
Last updated
02/06/2013
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