Individual
JENNY JOOEUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4800
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19065
CA
Other
Enumeration date
04/10/2025
Last updated
10/02/2025
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