| Dr Michael J Song, DO | |
|
450 N Wiget Ln, Walnut Creek, CA 94598-2408 | |
| (925) 691-9806 | |
| Not Available |
| Full Name | Dr Michael J Song |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 450 N Wiget Ln, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760756597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 20A11747 (California) | Primary |
| 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 |
| Entity Name | West Coast Health And Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20170517002654 |
| Entity Name | National Health Rehabilitation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780080218 PECOS PAC ID: 4284952615 Enrollment ID: O20200213001472 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael J Song, DO 225 Coggins Dr Apt 174, Pleasant Hill, CA 94523-4404 Ph: (909) 471-6515 | Dr Michael J Song, DO 450 N Wiget Ln, Walnut Creek, CA 94598-2408 Ph: (925) 691-9806 |
Kasra Amirdelfan, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-691-9806 Fax: 925-691-9807 | |
Lawrence Weil, M.D Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-691-9806 Fax: 925-691-9807 | |
Syed Ejaz Naqvi, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2000 | |
Dr. Morad Nasseri, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-691-9806 Fax: 925-691-9807 | |
Jacob A Rosenberg, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-691-9806 Fax: 925-691-9807 | |
Douglas Grant, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-691-9806 Fax: 925-691-9807 |