| Dr Sungchan Song, MD | |
|
11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | |
| (818) 375-1600 | |
| Not Available |
| Full Name | Dr Sungchan Song |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 16 Years |
| Location | 11301 Wilshire Blvd, Los Angeles, 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 |
|---|---|---|---|
| 1538467394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A115376 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sungchan Song, MD 8250 Woodman Ave, North 2 Building, Panorama City, CA 91402-5427 Ph: (619) 481-1590 | Dr Sungchan Song, MD 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 Ph: (818) 375-1600 |
Ajay K. Masih, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park East, Suite 707, Los Angeles, CA 90067 Phone: 310-553-0123 | |
Kenith K Paresa, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 11600 Wilshire Blvd Ste 406, Los Angeles, CA 90025 Phone: 424-248-8325 Fax: 310-943-2161 | |
Dr. Dorene Lynne Opava-rutter, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Va Dept Of Pm&rs W117, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4935 | |
Rommel Cruz Castro Jr., Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1640 Marengo St Ste 102, Los Angeles, CA 90033 Phone: 323-865-1200 | |
Neal K. Sheade, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Daun Chung, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 420, Los Angeles, CA 90095 Phone: 310-206-6232 Fax: 310-206-3551 | |
Dr. Peter C Lee, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4805 Rosewood Ave, Los Angeles, CA 90004 Phone: 323-469-1000 Fax: 323-469-1101 |