Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khim Leang Ly Song, NP

Individual provider Family Nurse Practitioner · NPI 1417636689

Khim Leang Ly Song, NP is a Nurse Practitioner in Alhambra, California. Qualified in 2021, 5 years ago. Practices with Integrative Sports and Spine Inc, a 26-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

328 S 1st St Ste D
Alhambra, CA 91801-3790
Phone: (833) 476-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95021730 (CA)

Record details

NPI number1417636689
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Integrative Sports And Spine Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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