| Sophie Song, MD | |
|
10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095-3075 | |
| (310) 794-8285 | |
| Not Available |
| Full Name | Sophie Song |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 39 Years |
| Location | 10833 Le Conte Ave, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033144829 | NPI | - | NPPES |
| 00A768220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A76822 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| West Hills Hospital & Medical Center | West hills, CA | Hospital |
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ucla Pathology And Laboratory Medicine Group | 5597679233 | 64 |
| Entity Name | Ucla Pathology And Laboratory Medicine Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497732630 PECOS PAC ID: 5597679233 Enrollment ID: O20031117000698 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophie Song, MD 5767 W. Century Blvd, #400, Los Angeles, CA 90045-5655 Ph: (310) 794-8285 | Sophie Song, MD 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095-3075 Ph: (310) 794-8285 |
Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Joshua Mo, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 10833 Leconte Ave Room A3-190, Los Angeles, CA 90095 Phone: 314-803-3291 | |
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588 | |
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Jeffrey Fred Krane, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058 |