Andrew K Song, MD | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1520 | |
(909) 580-1561 |
Full Name | Andrew K Song |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 30 Years |
Location | 400 N Pepper Ave, Colton, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851496996 | NPI | - | NPPES |
00A606320 | Medicaid | CA | |
A60632 | Other | CA | STATE LICENSE |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital, Riverside | Riverside, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Andrew K Song, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1520 | Andrew K Song, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1520 |
Michael D Gentry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Dr. James Park, MD Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2178 | |
Chul H Chae, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Chandler Shyu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Of Radiology, Colton, CA 92324 Phone: 909-580-1520 | |
Frederick L Orr, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Sylvia S Ortiz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Thuan T Dang, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 |