MEDICARE: GIULIANA S SONGSTER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	G45555	CA
2	207VM0101X	Maternal & Fetal Medicine Physician	G45555	CA

General Provider Information

NPI Number	:	1518962513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIULIANA S SONGSTER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-0309
Country	:	US
Telephone Number	:	213-763-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 S GRAND AVE
Second Line	:	STE 805
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3011
Country	:	US
Telephone Number	:	213-763-1500
Fax Number	:	213-763-1505

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/27/2023

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