JUNG SONG-LEE M.D NPI 1144301276

NPI Information

  • NPI: 1144301276
  • Provider Name: JUNG SONG-LEE, M.D
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 520 WST I STREET
    LOS BANOS, CA
    ZIP 93635
  • Phone: (209) 826-0591

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NPI Details

Jung Song-lee, M.D is a diagnostic radiology radiology in Los Banos, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jung Song-lee, M.D NPI is 1144301276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 WST I STREET
LOS BANOS, CA
ZIP 93635
Phone: (209) 826-0591

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/13/2008.

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
12085R0202XRadiologyDiagnostic RadiologyA37534CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A375340MEDICARE PINCALIFORNIA

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: 11/21/2025

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