DR. TARA ELENA SONG (NPI# 1457640914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457640914 |
| Entity Type | Individual |
| Full Name | DR. TARA ELENA SONG |
| Credential | MD |
| Practice Address |
8110 Woodman Ave Dept of Head and Neck Surgery Panorama City CA 91402 |
| Practice Telephone | 8183752732 |
| Mailing Telephone | 3033244690 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A125132 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
8110 WOODMAN AVE DEPT OF HEAD AND NECK SURGERY |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962693168 | Paul S. Lee | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2007-08-05 |
| 1801378138 | Anthony James Tuttobene | Respiratory Therapist, Registered | 8110 Woodman Ave, Panorama City, CA 91402 | 2018-09-04 |
| 1699093104 | Ali Razfar | Otolaryngology | 8110 Woodman Ave, Building 5 Area 220, Panorama City, CA 91402 | 2010-05-07 |
| 1134446727 | Sarah Lee O'brien | Physical Medicine & Rehabilitation | 8110 Woodman Ave, Bldg 5/area G20, Panorama City, CA 91402 | 2010-04-22 |
| 1174855738 | Jung Park | Internal Medicine | 8110 Woodman Ave, Panorama City, CA 91402 | 2010-02-08 |
| 1619102191 | Yuro J Berkovic | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962693168 | Paul S. Lee | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2007-08-05 |
| 1699093104 | Ali Razfar | Otolaryngology | 8110 Woodman Ave, Building 5 Area 220, Panorama City, CA 91402 | 2010-05-07 |
| 1619102191 | Yuro J Berkovic | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2009-05-27 |
| 1003907387 | Lad E Rubaum | Otolaryngology | 14860 Roscoe Blvd, No 305, Panorama City, CA 91402 | 2006-09-28 |
| 1285738567 | Lad E Rubaum Md Inc | Otolaryngology | 14860 Roscoe Blvd, No 305, Panorama City, CA 91402 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
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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.