Individual
DR. SUNGCHAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(818) 375-1600
Mailing address
8250 WOODMAN AVE, NORTH 2 BUILDING, PANORAMA CITY, CA 91402-5427
(619) 481-1590
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A115376
CA
Other
Enumeration date
03/03/2011
Last updated
12/01/2021
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