Songsong Wang, MSW INTERN STUDENT
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · La, CA
NPI 1689073496 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1689073496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 520 S. Lafayette Park Place #300
La, CA 90057 - Phone
- (213) 252-2100
- Fax
- (213) 383-3146
- NPI assigned
- Aug 18, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
520 S. Lafayette Park Place #300
La, CA 90057
Mailing address
520 S. Lafayette Park Place #300
La, CA 90057
Phone (213) 252-2100
Other providers in La, CA
- Wendy Tien
- Ricca Tinnin
- Shawn Farshad Torbati
- Sheila Tsai Wu
- Vladimir Eychis DDS Inc
- Sherrill Anne Washington
- Freddie Alvin Williams Jr.
- Soon Sea Woo
- Natalie Sunny Yates
- Guadalupe Zelaya Garcia
All providers in La, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.