DR. JOHN SONG (NPI# 1730207382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730207382 |
| Entity Type | Individual |
| Full Name | DR. JOHN SONG |
| Credential | DDS |
| Practice Address |
2730 Wilshire Blvd Suite 460 Santa Monica CA 90403-4831 |
| Practice Telephone | 3232066535 |
| Practice Fax Number | 3109981907 |
| Mailing Telephone | 3232066535 |
| Mailing Fax Number | 3109981907 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
48770 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559164 | John Kyu Song | Acupuncturist | 9825 N Indian Trail Rd, Spokane, WA 99208-9359 | 2013-11-12 |
| 1356416168 | John Song | Internal Medicine | 9040 Jackson Ave Int Med Dom, Tacoma, WA 98431-7324 | 2006-11-21 |
| 1922099084 | John K. Song | Neurological Surgery | 3000 N. Halsted, Suite 703, Chicago, IL 60657 | 2005-10-28 |
| 1588745988 | John Y Song | Internal Medicine | 516 Delaware Street Se, Pwb Third Floor, Clinic 3a, Minneapolis, MN 55455 | 2006-10-18 |
| 1093808446 | John Song | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-09-30 |
| Street Address |
2730 WILSHIRE BLVD SUITE 460 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814706 | Michael David Greenwald | Psychologist | 2730 Wilshire Blvd, Suite 650, Santa Monica, CA 90403-4743 | 2005-10-09 |
| 1558914994 | Allison Nurse-hofer | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-07-23 |
| 1770056434 | Elizabeth A Lauber | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-01-05 |
| 1770066193 | Stephanie Sarah Fogelson | Physical Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2018-09-11 |
| 1992230718 | Skin By Lovely | Clinic/Center | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-04-30 |
| 1215478441 | Mind Health Institute Santa Monica | Psychiatry & Neurology | 2730 Wilshire Blvd, #507, Santa Monica, CA 90403-4743 | 2017-03-20 |
| 1679019715 | Kristy Charlier | Registered Nurse | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-01-12 |
| 1982155198 | Jake Edward Goldman | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 630, Santa Monica, CA 90403-4743 | 2016-10-23 |
| 1881141026 | Molly Schaffer, Marriage & Family Therapist, PC | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 250, Santa Monica, CA 90403-4743 | 2016-09-06 |
| 1790238418 | Matrix Physical Therapy and Wellness | Clinic/Center | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4743 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689005654 | Stephanie Yeung | Dentist | 2200 Colorado Ave Ste H, Santa Monica, CA 90404-3589 | 2013-12-02 |
| 1174892673 | Anita Tourah | Dentist | 1304 15th St Ste 200, Santa Monica, CA 90404-1811 | 2011-12-29 |
| 1649302068 | Nai-huei Wang | Dentist | 1260 15th St Ste 1002, Santa Monica, CA 90404-1145 | 2007-03-12 |
| 1508259755 | Stephanie Yeung Dds PC | Dentist | 2200 Colorado Ave, Suite H, Santa Monica, CA 90404-3571 | 2015-03-12 |
| 1548410079 | Michael Osamu Hamada | Dentist | 1460 7th St, Suite 205, Santa Monica, CA 90401-2629 | 2008-09-20 |
| 1023218658 | Linda Beth Chen | Dentist | 1304 15th St, Suite 311, Santa Monica, CA 90404-1809 | 2007-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.