MEDICARE: COREY SONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		CA

General Provider Information

NPI Number	:	1164842373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COREY SONG

Provider Business Mailing Address
First Line	:	1753 E APPLETON ST APT C
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-3779
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1753 E APPLETON ST APT C
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-3779
Country	:	US
Telephone Number	:	213-235-5425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2014
Last Update Date	:	04/27/2014

Similar Medicare Providers

1649319427 — MEDSOL HOME HEALTHCARE & CASE MANAGEMENT SERVICE, LLC
Practice Location Address:

7807 LONG POINT RD STE 310
HOUSTON, TX
77055-3779

Practice Phone: 281-380-4683
Practice Fax: 713-722-8099

1457558702 — LONG POINT HEALTH & INJURY
Practice Location Address:

7807 LONG POINT RD , # 305
HOUSTON, TX
77055-3779

Practice Phone: 713-864-2787
Practice Fax: 713-864-2799

1477983674 — MRS. AMANDA RODRIGUEZ PA-C
Practice Location Address:

1251 LONG GATE
NEW BRAUNFELS, TX
78130-3779

Practice Phone: 830-221-6766
Practice Fax:

1720939085 — JAY L AJMO, DDS PA
Practice Location Address:

7100 FAIRWAY DR STE 59
PALM BEACH GARDENS, FL
33418-3779

Practice Phone: 561-627-8666
Practice Fax:

1457367088 — RAJASHEKAR NARASIMAIAH M.D.
Practice Location Address:

33188 COASTAL HWY , UNIT 4
BETHANY BEACH, DE
19930-3779

Practice Phone: 302-537-1100
Practice Fax: 302-537-0921

1508872052 — BETHANY PRIMARY CARE
Practice Location Address:

33188 COASTAL HWY , SUITE 4
BETHANY BEACH, DE
19930-3779

Practice Phone: 302-537-1100
Practice Fax: 302-537-0921

Directions to “ COREY SONG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.