| Doctor Name: | JUNG SONG-LEE |
| NPI Number: | 1144301276 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | A37534 |
| Business Practice Address: | 520 Wst I Street Los Banos, CA - 93635 |
| Business Phone Number: | 2098260591 |
| Business Fax Number: | |
| Mailing Address: | Po Box 579120, MODESTO |
| State: | CA |
| Postal Code: | 953579120 |
| Phone Number: | 2095268038 |
| Fax Number: | 2095266841 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | A37534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |