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Jeeeun Song

NPI 1134721087 · on the registry since 2020

Practice

Address
1634 W Sunset Blvd
Los Angeles, CA 90026
Phone
(213) 341-1411
Organisation at this address
Cmc Enterprise Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California