person
Mrs. Charlene Y Song, MD
Specialist in Los Angeles, California
NPI 1366537474

Charlene Y Song is a Specialist based in Los Angeles, CA. Charlene Y Song practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Charlene Y Song is 1366537474 and holds a License No. G65248 (California).

The current practice location address for Charlene Y Song is 520 S Virgil Ave, Los Angeles, CA and can be reached out via phone at 213-386-1004 and via fax at 213-386-1115.

Location: 520 S Virgil Ave, Los Angeles, CA, 90020-1416
person
Provider Profile Details
NPI Number
1366537474
Provider Name
Charlene Y Song
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
520 S Virgil Ave, Los Angeles, CA, 90020-1416
Phone Number
213-386-1004
Fax Number
213-386-1115
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G65248 05 CA
G65248 01 CA CALIF LICENSE
institution
Provider Business Practice Location Address Details
Address
520 S Virgil Ave
City
State
Zip
90020-1416
Phone Number
213-386-1004
Fax Number
213-386-1115
person
Provider Business Mailing Address Details
Address
520 S Virgil Ave
City
State
Zip
90020-1416
Phone Number
213-386-1004
Fax Number
213-386-1115
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G65248 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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