DR. CHARLES H SONG (NPI# 1790792869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790792869 |
| Entity Type | Individual |
| Full Name | DR. CHARLES H SONG |
| Credential | M.D. |
| Practice Address |
200 Medical Plaza Suite 265 Los Angeles CA 90095-6814 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108250867 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G23461 | CA | Other Service Providers |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
G23461 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 S Sepulveda Blvd, Suite 220, Manhattan Beach, CA 902666814 | 3103744481 | 3103744584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193144 | Charles Lucky Song | Counselor | 2390 Pacific Ave, Long Beach, CA 90806-3051 | 2020-10-27 |
| Street Address |
200 MEDICAL PLAZA SUITE 265 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508897265 | Peter Szilagyi | Pediatrics | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0001 | 2006-07-05 |
| 1386156008 | Rebecca Signer | Genetic Counselor, MS | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0001 | 2017-11-03 |
| 1437661279 | Jessica Sarah Violette Kianmahd | Genetic Counselor, MS | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0001 | 2017-11-02 |
| 1417248428 | Charles Andrew Newcomer | Pediatrics | 200 Medical Plaza Suite 265, Los Angeles, CA 90095 | 2011-04-25 |
| 1295934479 | Lisa Nicholson | Nurse Practitioner | 200 Medical Plaza Suite 265, Los Angeles, CA 90095 | 2007-07-17 |
| 1366646952 | Marlin Youssef Touma | Pediatrics | 200 Medical Plaza Suite 265, Los Angeles, CA 90095-0462 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003278086 | Neema Izadi | Pediatrics | 4650 W Sunset Blvd # 75, Los Angeles, CA 90027-6062 | 2016-03-28 |
| 1427193457 | Lyne Goodlett Scott | Pediatrics | 1801 Marengo St Rm 1g1, Los Angeles, CA 90033-1365 | 2007-02-20 |
| 1669880787 | Adventist Health Physicians Network | Pediatrics | 1700 E Cesar E Chavez Ave, #3000, Los Angeles, CA 90033-2424 | 2014-08-01 |
| 1639365208 | Dr Maria Elena Rodriguez Inc A Medical Corporation | Pediatrics | 2417 Whittier Blvd, Los Angeles, CA 90023-1355 | 2007-09-18 |
| 1043402332 | Caroline Yi-shoo Kuo | Pediatrics | 10833 Le Conte Ave, Los Angeles, CA 90095-2004 | 2007-08-10 |
| 1942393095 | Joseph August Church | Pediatrics | 4650 W Sunset Blvd, Ms# 75, Los Angeles, CA 90027-6062 | 2006-10-02 |
| 1275626202 | Ronald M Ferdman | Pediatrics | 4650 W Sunset Blvd, Ms# 75, Los Angeles, CA 90027-6062 | 2006-10-02 |
| 1659478865 | Peck Yeow Ong | Pediatrics | 4650 Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-09-20 |
| 1922117993 | Ewald Richard Stiehm | Pediatrics | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-08-30 |
| 1326157421 | Robert Lloyd Roberts | Pediatrics | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-08-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on DR. CHARLES H SONG.
| 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.