Chull Sung Song, MD | |
1530 Bessie Ave, Ste 108, Tracy, CA 95376-3080 | |
(209) 342-2300 | |
(209) 524-4240 |
Full Name | Chull Sung Song |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1530 Bessie Ave, Tracy, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154312668 | NPI | - | NPPES |
OOG135350 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G13535 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Chull Sung Song, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Chull Sung Song, MD 1530 Bessie Ave, Ste 108, Tracy, CA 95376-3080 Ph: (209) 342-2300 |
Richard Michael Porzio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 | |
Mario P Sattah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Suite 108, Tracy, CA 95376 Phone: 209-833-2393 Fax: 209-833-2399 | |
Keith Kwok, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 North Bessie Avenue, Suite 108, Tracy, CA 95376 Phone: 209-833-2393 | |
Garth Howland Harley Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 1530 Bessie Ave, Suite 108, Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 | |
Kyle Kai Yu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 | |
Sam Peter Kokoris, MD Radiology Medicare: Medicare Enrolled Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 |