Individual
SONG S CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3224 W OLYMPIC BLVD, #203, LOS ANGELES, CA 90006-2317
(323) 731-2211
(323) 731-2134
Mailing address
3224 W OLYMPIC BLVD, #203, LOS ANGELES, CA 90006-2317
(323) 731-2211
(323) 731-2134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G66800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G668000
BLUE SHIELD
CA
05
—
00G668000
—
CA
Enumeration date
10/03/2006
Last updated
03/31/2008
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