Mr. Chung Song, REVDR
Mr. Chung Song, REVDR is a Community Health Worker in Los Angeles, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
3727 W 6th St Ste 411Los Angeles, CA 90020-5105
Phone: (213) 365-7400
Fax: (213) 201-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1396187092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | REVDR |
| Sole proprietor | No |
| NPI enumerated | July 23, 2013 |
| Last updated in NPPES | July 23, 2013 |
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