MIHAE SONG (NPI# 1144665423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144665423 |
| Entity Type | Individual |
| Full Name | MIHAE SONG |
| Credential | MD |
| Practice Address |
1500 Duarte Rd Duarte CA 91010-3012 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6262564673 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 25MA09284600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
C170610 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 59023 | MN | Student, Health Care |
| Street Address |
1500 DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498271 | Marwan G Fakih | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2005-06-22 |
| 1801403688 | Jia-chi Wang | Medical Genetics | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-09-25 |
| 1053923300 | Ying Moua | Social Worker | 1500 Duarte Rd, Duarte, CA 91010-3000 | 2020-08-18 |
| 1477163814 | Elise Sobotka | Genetic Counselor, MS | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-07-31 |
| 1033728217 | Gabriela Claudia Medrano | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-07-23 |
| 1538783295 | Lynn Kim | Occupational Therapist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-05-29 |
| 1235759887 | Jessica Vuong | Pharmacist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-23 |
| 1073133104 | Edward Thanasombat | Pharmacist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-18 |
| 1285254300 | Tu Nguyen Doan Vuong | Pharmacist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-18 |
| 1093344756 | Amy Marie Mcgovern | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073730891 | Thanh Hue Dellinger | Obstetrics & Gynecology | 1500 Duarte Rd, Mob 1002b, Duarte, CA 91010-3012 | 2007-04-20 |
| 1639247950 | Ernest S Han | Obstetrics & Gynecology | 1500 E Duarte Road, Duarte, CA 91010-3012 | 2006-12-04 |
| 1457436719 | Lorna Rodriguez | Obstetrics & Gynecology | 1500 E. Duarte Road, Duarte, CA 91010 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727928 | Hhlp Medical Group Inc | Obstetrics & Gynecology | 500 N Garfield Ave Ste 104, Monterey Park, CA 91754-1242 | 2019-02-21 |
| 1003289919 | East Bay Gynecologic Oncology | Obstetrics & Gynecology | 105 Monte Vista Rd, Orinda, CA 94563-1619 | 2015-11-02 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1669713012 | Conley Gerard Lacey | Obstetrics & Gynecology | 1935 Stonebrook Ln, Clovis, CA 93611-5985 | 2013-03-11 |
| 1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
| 1447575568 | Kristen Marie Anderson | Obstetrics & Gynecology | 26520 Cactus Ave Ste B2020, Moreno Valley, CA 92555-3927 | 2010-03-31 |
| 1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
| 1295977932 | Danielle D. Jandial | Obstetrics & Gynecology | 101 The City Dr., Bldg. 56, Room 260, Orange, CA 92683-1491 | 2009-03-26 |
| 1629235783 | Jeff Feng Hsu Lin | Obstetrics & Gynecology | 455 Oconnor Dr Ste 370, San Jose, CA 95128-1600 | 2008-05-16 |
| 1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
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| 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.