Dr Na Young Song, DO | |
4149 Mildred Ave, Los Angeles, CA 90066-5721 | |
(424) 625-8897 | |
Not Available |
Full Name | Dr Na Young Song |
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Gender | Female |
Speciality | General Practice |
Location | 4149 Mildred Ave, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871723122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 20A14528 (California) | Primary |
Entity Name | Health Atlast West La Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376968610 PECOS PAC ID: 7719100478 Enrollment ID: O20140527001161 |
Mailing Address | Practice Location Address |
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Dr Na Young Song, DO 1403 Lomita Blvd, Harbor City, CA 90710-2076 Ph: (310) 534-6221 | Dr Na Young Song, DO 4149 Mildred Ave, Los Angeles, CA 90066-5721 Ph: (424) 625-8897 |
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