Song, Karen B.

Song, Karen B. is an individual health care provider with primary practice located at 1941 Johnson Ave Ste 301 , San Luis Obispo CA 93401-4175. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Song, Karen B. can be contacted via phone (805) 786-4111.

Contact Information

Primary practice address
1941 Johnson Ave Ste 301 San Luis Obispo CA 93401-4175
Phone: (805) 786-4111
Fax: (805) 543-6357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2014020947 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A107061 California

Profile Details

NPI number 1356632947
LBN Legal business name Song, Karen B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated May 30th, 2024 - about 4 months 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 1356632947 NPPES
Missouri MEDICAID 1356632947

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