Provider / Organization | NPI | Date Certified |
---|---|---|
LEI SONG | 1922675313 | 2021-06-05 |
Lei Song is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922675313. Registration indicates Lei Song is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
Entity Type | Individual |
Provider Name | Lei Song L.AC, MSAOM |
Practice Office Address | 3007 HUNTINGTON DR STE 200 PASADENA, CA US |
Practice Office Telephone | 3238427886 |
Mailing Address | 596 W HUNTINGTON DR UNIT D ARCADIA, CA 910073463 US |
Business Telephone | 3238427886 |
Code | Practice | License No State |
---|---|---|
171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | AC18878
CA |