Song, Yong S
Song, Yong S is an individual health care provider with primary practice located at 11301 Wilshire Blvd (Mailcode: 116B), Bldg 257, Los Angeles CA 90073-1003. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Song, Yong S can be contacted via phone (310) 478-3711.Contact Information
Primary practice address
11301 Wilshire Blvd (Mailcode: 116B), Bldg 257
Los Angeles CA 90073-1003
Phone: (310) 478-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY16860 | California |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY16860 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY16860 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY16860 | California |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY16860 | California |
Profile Details
| NPI number | 1699799098 |
|---|---|
| LBN Legal business name | Song, Yong S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 22nd, 2010 - about 16 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.
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