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

Kiseong Song

Individual provider Pharmacist · NPI 1881270882

Kiseong Song is a Pharmacist in Van Nuys, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

6201 Sepulveda Blvd
Van Nuys, CA 91411-1111
Phone: (818) 373-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 82374 (CA)

Record details

NPI number1881270882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2021
Last updated in NPPESMarch 20, 2021
Certification dateMarch 20, 2021

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