Individual
DR. CHARLES H SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLAZA SUITE 265, LOS ANGELES, CA 90095-6814
(310) 825-0867
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G23461
CA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G23461
CA
Other
Enumeration date
08/02/2006
Last updated
07/05/2018
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