Individual
IVY YI SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-2614
Mailing address
8605 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A181580
CA
Other
Enumeration date
04/05/2021
Last updated
02/25/2026
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