TAE J SONG DPM INC NPI 1942519392

NPI Information

NPI: 1942519392
Provider Name: TAE J SONG DPM INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1310 CONTINENTAL ST
REDDING, CA
ZIP 96001
Phone: (530) 244-0674
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TAE J SONG DPM INC is a foot and ankle surgery podiatrist in Redding, CA. TAE J SONG DPM INC NPI is 1942519392. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1310 CONTINENTAL ST
REDDING, CA
ZIP 96001-839
Phone: (530) 244-0674
Fax: (530) 244-1033

The provider's authorized official is Tae J Song .
The authorized official title is President and has the following contact phone number (530) 244-0674.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4771	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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