Song, Chull Sung

Song, Chull Sung is an individual health care provider with primary practice located at 1530 Bessie Ave Ste 108, Tracy CA 95376-3080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Song, Chull Sung can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
1530 Bessie Ave Ste 108 Tracy CA 95376-3080
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G13535 California

Profile Details

NPI number 1154312668
LBN Legal business name Song, Chull Sung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jan 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154312668 NPPES
California Other OOG135350 BLUE SHIELD

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