SearchCalifornia207L00000X

Sang Hoon Song

NPI 1649702549 · on the registry since 2017 · sole proprietor

Practice

Address
4150 V St
#1200
Sacramento, CA 95817
Phone
(916) 734-5028
Organisation at this address
Uc Davis
Uc Davis
Uc Davis
Uc Davis
Uc Davis
Inferred from a shared address, not stated in the registry.
Clinicians at this address
527

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-22

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