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Individual

DR. NA YOUNG SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4149 MILDRED AVE, LOS ANGELES, CA 90066-5721
(424) 625-8897
Mailing address
1403 LOMITA BLVD, HARBOR CITY, CA 90710-2076
(310) 534-6221

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A14528
CA

Other

Enumeration date
07/21/2009
Last updated
04/04/2016
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