Individual
BENJAMIN JINYOUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
101 15TH ST, SAN FRANCISCO, CA 94116
(415) 682-3229
Mailing address
111 RUSSIA AVE, SAN FRANCISCO, CA 94112-2701
(909) 816-6476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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