SearchCalifornia163W00000X

Youngae Song

NPI 1215883673 · on the registry since 2026 · sole proprietor

Practice

Address
2015 W 42nd St
Los Angeles, CA 90062
Phone
(562) 505-4722

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-09

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