Dr. Charles H Song
M.D. | Pediatric Allergy-Immunology | Male
Dr. Charles H Song, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Charles H Song is
200 Medical Plaza Suite 265, Los Angeles, California - 90095-6814. He can be contacted on phone at
310-825-0867.
Dr. Charles H Song is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Charles H Song is
1790792869 which was assigned by NPPES on 02 Aug, 2006 and it was last updated on 05 Jul, 2018.
Dr. Charles H Song license number is
G23461 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in California.
Dr. Charles H Song specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Charles H Song basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Charles H Song |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Charles H Song address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 Medical Plaza Suite 265
Los Angeles, CA, 90095-6814
United States |
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| Phone Number : | 310-825-0867 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790792869 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Aug, 2006 |
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| Last Updated On : | 05 Jul, 2018 |
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Medicare Participation:
Dr. Charles H Song participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0446214639 |
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| Medicare Enrollment ID : | I20041117000562 |
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| Primary Specialty : | Allergy/immunology |
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| Medical School : | Northwestern University Feinberg Medical School |
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| Graduation Year : | 1971 |
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| Accepts Medicare? | Yes. Dr. Charles H Song accepts medicare insurance. |
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Group Practice Association:
Dr. Charles H Song is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Charles H Song is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| | | 3113 N Sepulveda Blvd
Suite A
Manhattan Beach, CA - 902662492
Ph: 3108022016 | May accept |
| Oso Specialty Infusion Inc. | 3274894720 | 6 | 17175 Gillette Ave
Suite B
Irvine, CA - 926145602
Ph: 9496607126 | Yes |
| Andrew K. Wong, M.d., Inc. | 6406224567 | 2 | 3113 N Sepulveda Blvd
Suite A
Manhattan Beach, CA - 902662492
Ph: 3108028016 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles H Song are as mentioned. Primary taxonomy code for Dr. Charles H Song, M.D. is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 174400000X | Specialist | No | G23461 | CA |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | G23461 | CA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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400 S SEPULVEDA BLVD, SUITE 220
MANHATTAN BEACH, CA, 90266-6814
United States | MANHATTAN BEACH, CA | 310-374-4481 |
400 S SEPULVEDA BLVD, SUITE 220
MANHATTAN BEACH, CA, 90266-6814
United States | MANHATTAN BEACH, CA | 310-374-4481 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5767 W Century Blvd Ste 400
Los Angeles, CA, 90045-5631
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Charles H Song practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.