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05D1009902 CLIA NUMBER - CHARLENE SONG MD

Laboratory Demographics

CLIA Number: 05D1009902

Facility Name: CHARLENE SONG MD

Facility Address:
520 S VIRGIL AVE STE 203
LOS ANGELES, CA
ZIP 90020
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Facility Phone Number: 213 251-7897

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1316297476

Taxonomy: 171M00000X - Case Manager/Care Coordinator
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

CLIA Record

Field Name Field Value
CLIA Number 05D1009902
LAB Type Physician Office
Facility Name CHARLENE SONG MD
Street 520 S VIRGIL AVE STE 203
City LOS ANGELES
State CA
ZIP 90020
Phone 213 251-7897
CertificateType 3
CertificateEffectiveDate 2/27/2023
CertificateExpirationDate 2/26/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024