CHULL SUNG SONG MD NPI 1154312668

NPI Information

NPI: 1154312668
Provider Name: CHULL SUNG SONG, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1530 BESSIE AVE
STE 108
TRACY, CA
ZIP 95376
Phone: (209) 342-2300
Get Directions

Chull Sung Song, MD is a diagnostic radiology radiology in Tracy, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Chull Sung Song, MD NPI is 1154312668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1530 BESSIE AVE
STE 108
TRACY, CA
ZIP 95376-080
Phone: (209) 342-2300
Fax: (209) 524-4240

The enumeration date for this NPI number is 11/3/2005 and was last updated on 1/28/2008.

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
1	2085R0202X	Radiology	Diagnostic Radiology	G13535	CALIFORNIA	Yes

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
1	OOG135350	OTHER	CALIFORNIA	BLUE SHIELD
2	00G135353	MEDICARE PIN	CALIFORNIA
3	00G135354	MEDICARE PIN	CALIFORNIA
4	A39011	MEDICARE UPIN
5	00G135351	MEDICARE PIN	CALIFORNIA
6	00G135355	MEDICARE PIN	CALIFORNIA
7	00G135356	MEDICARE PIN	CALIFORNIA
8	00G135350	MEDICARE PIN	CALIFORNIA

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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