Song, Duk Ja
Song, Duk Ja is an sole proprietor health care provider with primary practice located at 634 S Glenn Alan Ave , West Covina CA 91791-2705. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Song, Duk Ja can be contacted via phone (213) 700-2454.Contact Information
Primary practice address
634 S Glenn Alan Ave
West Covina CA 91791-2705
Phone: (213) 700-2454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC6340 | California |
Profile Details
| NPI number | 1326113697 |
|---|---|
| LBN Legal business name | Song, Duk Ja |
| Credentials | AC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326113697 | NPPES |
| California | Other | AC6340 | LINCENSE |
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