Search › California › 363LP0200X
Grace Song, PNP
NPI 1790521185 · on the registry since 2024
Practice
- Address
- 327 N Boylston St Apt 419
Los Angeles, CA 90012 - Phone
- (732) 939-1646
- Organisation at this address
- Sidrah S Khan, Licensed Clinical Social Worker, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-04
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