| Na Young Song, D.o., A Professional Corporation | |
|
2001 S Barrington Ave Ste 111 Los Angeles CA 90025-5337 | |
| (424) 625-8897 | |
| Not Available |
| Full Name | Na Young Song, D.o., A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2001 S Barrington Ave Ste 111, Los Angeles, California |
| Authorized Official Name and Position | Na Young Song (CEO, CFO, SECRETARY) |
| Authorized Official Contact | 4246258897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Na Young Song, D.o., A Professional Corporation 2001 S Barrington Ave Ste 111 Los Angeles CA 90025-5337 Ph: (424) 625-8897 | Na Young Song, D.o., A Professional Corporation 2001 S Barrington Ave Ste 111 Los Angeles CA 90025-5337 Ph: (424) 625-8897 |
| NPI Number | 1104634963 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Medicare PECOS PAC ID | 8325577190 |
|---|---|
| Medicare Enrollment ID | O20250123000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104634963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Na Young Song |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871723122 PECOS PAC ID: 2961794557 Enrollment ID: I20160629002295 |
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