| Hank Jin Song, MD | |
|
1200 N State St, Gnh-1011, Los Angeles, CA 90033 | |
| (323) 409-7053 | |
| (323) 226-7927 |
| Full Name | Hank Jin Song |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 1200 N State St, 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 |
|---|---|---|---|
| 1770072746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A165230 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
| Henry Mayo Newhall Hospital | Valencia, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burbank Emergency Medical Group Inc | 2961308036 | 22 |
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Burbank Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689636730 PECOS PAC ID: 2961308036 Enrollment ID: O20031209001109 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Hank Jin Song, MD 1200 N State St, Gnh-1011, Los Angeles, CA 90033 Ph: (323) 409-7053 | Hank Jin Song, MD 1200 N State St, Gnh-1011, Los Angeles, CA 90033 Ph: (323) 409-7053 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Sean Emerson Treacy, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 757 Westwood Plz Ste 1517, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 |