Dr. Ellen Teresa Song
M.D. | Pediatrics | Female
Dr. Ellen Teresa Song, M.D. is a Irvine, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ellen Teresa Song is
16300 Sand Canyon Ave Ste 209, Irvine, California - 92618-3712. She can be contacted on phone at
949-216-6900 and fax number 949-387-5130.
Dr. Ellen Teresa Song is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Ellen Teresa Song is
1528079589 which was assigned by NPPES on 11 Aug, 2006 and it was last updated on 19 Dec, 2013.
Dr. Ellen Teresa Song license number is
A86825 for Pediatrics (208000000X) in California.
Dr. Ellen Teresa Song is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ellen Teresa Song basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ellen Teresa Song |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Ellen Teresa 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 : | 16300 Sand Canyon Ave Ste 209
Irvine, CA, 92618-3712
United States |
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| Phone Number : | 949-216-6900 |
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| Fax Number : | 949-387-5130 |
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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 : | 1528079589 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Aug, 2006 |
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| Last Updated On : | 19 Dec, 2013 |
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Medicare Participation:
Dr. Ellen Teresa Song participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4789650797 |
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| Medicare Enrollment ID : | I20040909000910 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | University Of Michigan Medical School |
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| Graduation Year : | 2000 |
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| Accepts Medicare? | Yes. Dr. Ellen Teresa Song accepts medicare insurance. |
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Group Practice Association:
Dr. Ellen Teresa 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. Ellen Teresa Song is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| | | 20072 Sw Birch St
Suite 100
Newport Beach, CA - 926600794
Ph: 9497571150 | May accept |
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. Ellen Teresa Song are as mentioned. Primary taxonomy code for Dr. Ellen Teresa Song, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | A86825 | CA |
| 208000000X | Pediatrics | Yes | A86825 | CA |
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 : | 16300 Sand Canyon Ave Ste 209
Irvine, CA, 92618-3712
United States |
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| Phone Number : | 949-216-6900 |
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| Fax Number : | 949-387-5130 |
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Business Location:
Patients can refer following map for directions to
Dr. Ellen Teresa 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.