Hae-ri Song, MD | |
4650 W Sunset Blvd, Ms# 82, Los Angeles, CA 90027-6062 | |
(323) 669-2471 | |
(323) 667-2019 |
Full Name | Hae-ri Song |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 4650 W Sunset Blvd, 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 |
---|---|---|---|
1770679615 | NPI | - | NPPES |
00A798670 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | A79867 (California) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Hae-ri Song, MD 6430 W Sunset Blvd, Suite 600, Los Angeles, CA 90028-7901 Ph: (323) 669-2337 | Hae-ri Song, MD 4650 W Sunset Blvd, Ms# 82, Los Angeles, CA 90027-6062 Ph: (323) 669-2471 |
Dr. Joshua Hyong-jin Cho, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ucla Medical Plz Ste 3200a, Los Angeles, CA 90095 Phone: 310-301-7396 Fax: 310-313-9247 | |
Dr. Shabnam Balali, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Los Angeles, CA 90073 Phone: 310-478-3711 | |
Dr. Inna Keselman, M.D., PH.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plaza # B200, Los Angeles, CA 90095 Phone: 310-794-1195 Fax: 310-794-7491 | |
Dr. Melissa Nicole Sullivan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 760 Westwood Plz, Suite C8-222, Los Angeles, CA 90024 Phone: 310-825-9989 | |
Dr. Gary Pedneault, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7257 W Manchester Ave Apt 3, Los Angeles, CA 90045 Phone: 310-410-8266 | |
Nasheed Ishrat Jamal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 710 Westwood Plz Rm 1-240, Los Angeles, CA 90095 Phone: 310-825-6681 | |
Sneha Venkatraman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 760 Westwood Plz Ste C8-193, Los Angeles, CA 90024 Phone: 424-325-8099 |