Ellen Teresa Song, M.D.

Pediatrics Physician · Irvine, CA

Individual Active NPI

NPI number 1528079589

Practice location

16300 Sand Canyon Ave Ste 209
Irvine, CA 92618-3712
Phone
(949) 216-6900
Fax
(949) 387-5130

Open in Google Maps

NPI record

NPI
1528079589
Entity type
Individual (Type 1)
Enumeration date
August 11, 2006
Last updated
December 19, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A86825 CA
Internal Medicine Physician 207R00000X A86825 CA

About Dr. Song

Ellen Teresa Song, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 16300 Sand Canyon Ave Ste 209, Irvine, CA 92618-3712. The NPI number 1528079589 was assigned on August 11, 2006 and the record was last updated on December 19, 2013.

Dr. Song lists 2 licenses in the registry: #A86825 (CA) for Pediatrics Physician; #A86825 (CA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Teresa Song, M.D.?

The NPI number is 1528079589.

What is the phone number of Dr. Song?

The phone number listed for the practice location is (949) 216-6900.

Where is Dr. Song located?

16300 Sand Canyon Ave Ste 209, Irvine, CA 92618-3712.

What is the taxonomy code for Dr. Song?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Irvine

All Pediatrics Physician providers in Irvine, CA →