DAVID SONGCHAN IM (NPI# 1558414763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558414763 |
| Entity Type | Individual |
| Full Name | DAVID SONGCHAN IM |
| Credential | D.P.T |
| Practice Address |
2245 E. Colorado Blvd. #202 Pasadena CA 91107 |
| Practice Telephone | 6264499910 |
| Practice Fax Number | 6264499382 |
| Mailing Telephone | 6264499910 |
| Mailing Fax Number | 6264499382 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT26933 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357790 | David Soon Im | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-05-25 |
| Street Address |
2245 E. COLORADO BLVD. #202 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295979532 | Michelle K. Kim D.d.s. Corp. | Clinic/Center | 2245 E. Colorado Blvd., Suite 201, Pasadena, CA 91107 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087217 | Vincent Ho | Physical Therapist | 800 S Raymond Ave Fl 3, Pasadena, CA 91105-3229 | 2019-08-06 |
| 1558567388 | Emma L Green | Physical Therapist | 780 S Arroyo Pkwy, Suites B and C, Pasadena, CA 91105-3232 | 2007-06-27 |
| 1710072020 | Jason Thad Stracker | Physical Therapist | 959 E Walnut St Ste 240, Pasadena, CA 91106-1451 | 2006-10-03 |
| 1083271571 | Kelli Blair Gunter | Physical Therapist | 5150 Crenshaw Rd Ste D100, Pasadena, TX 77505-3095 | 2019-05-21 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1336697044 | Sarah Barnes | Physical Therapist | 3280 E Foothill Blvd, Pasadena, CA 91107-3103 | 2016-09-12 |
| 1245697523 | Jennifer Yeunyee Jing | Physical Therapist | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2016-01-18 |
| 1982040614 | William Lee | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2013-05-21 |
| 1639420425 | Andrew Benjamin Piraino | Physical Therapist | 4500 E Sam Houston Pkwy S, Suite 215, Pasadena, TX 77505-3959 | 2012-09-20 |
| 1508146499 | Annette Y Karim | Physical Therapist | 200 E Del Mar Blvd, Suite # 302, Pasadena, CA 91105-2544 | 2011-08-23 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.