SearchMaryland171100000X

Song Bok Shin

NPI 1215766126 · on the registry since 2024 · sole proprietor

Practice

Address
966 Hungerford Dr Ste 18a
Rockville, MD 20850
Phone
(714) 469-3232
Organisation at this address
Lys Llc
Allcare @ Home
Ot For Kids, Llc
Relaxation Clinic
Allcare @ Home, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-29

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 Maryland