Individual
MR. CHUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REV. DR.
Contact information
Practice address
3727 W 6TH ST, STE 411, LOS ANGELES, CA 90020-5105
(213) 365-7400
(213) 201-3993
Mailing address
3727 W 6TH ST, STE 411, LOS ANGELES, CA 90020-5105
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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