CHARLES LUCKY SONG NPI 1871193144

NPI Information

NPI: 1871193144
Provider Name: CHARLES LUCKY SONG
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2390 PACIFIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 988-1863
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Charles Lucky Song is an addiction (substance use disorder) counselor in Long Beach, CA. Charles Lucky Song NPI is 1871193144. 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:

2390 PACIFIC AVE
LONG BEACH, CA
ZIP 90806-051
Phone: (562) 988-1863

The enumeration date for this NPI number is 10/27/2020 and was last updated on 11/20/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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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