SONG DENTAL CORPORATION (NPI# 1982188934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982188934 |
| Entity Type | Organization |
| Organization Name | SONG DENTAL CORPORATION |
| Practice Address |
2920 Huntington Dr Ste 238 San Marino CA 91108-2254 |
| Mailing Address |
936 S Olive St Apt 734 Los Angeles CA 90015-3679 |
| Practice Telephone | 6262869211 |
| Mailing Telephone | 2627196842 |
| Enumeration Date | 2018-09-16 |
| Last Update Date | 2018-09-16 |
| Authorized Official Name | JONATHAN T SONG (PRESIDENT) |
| Authorized Official Telephone | 2627196842 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2920 HUNTINGTON DR STE 238 |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARINO |
| Zip Code | 91108 |
Please comment or provide details below to improve the information on SONG DENTAL CORPORATION.
| 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.