Organization
BENJAMIN I SONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN SONG M.D. (PRESIDENT)
(323) 456-7890
Entity
Organization
Contact information
Practice address
1133 S CRENSHAW BLVD, LOS ANGELES, CA 90019
(323) 456-7890
Mailing address
1133 S CRENSHAW BLVD, LOS ANGELES, CA 90019
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A36221
CA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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