CHULL SUNG SONG MD NPI 1154312668

NPI Information

  • NPI: 1154312668
  • Provider Name: CHULL SUNG SONG, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1530 BESSIE AVE
    STE 108
    TRACY, CA
    ZIP 95376
  • Phone: (209) 342-2300

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NPI Details

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
12085R0202XRadiologyDiagnostic RadiologyG13535CALIFORNIAYes

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
1OOG135350OTHERCALIFORNIABLUE SHIELD
200G135353MEDICARE PINCALIFORNIA
300G135354MEDICARE PINCALIFORNIA
4A39011MEDICARE UPIN
500G135351MEDICARE PINCALIFORNIA
600G135355MEDICARE PINCALIFORNIA
700G135356MEDICARE PINCALIFORNIA
800G135350MEDICARE 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: 3/30/2025

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