MS. SOO JA SONG (NPI# 1538269337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538269337 |
| Entity Type | Individual |
| Full Name | MS. SOO JA SONG |
| Credential | CRNA |
| Practice Address |
2776 Pacific Ave Long Beach CA 90806-2613 |
| Mailing Address |
P.o. Box 22678 Long Beach CA 90801-2678 |
| Practice Telephone | 7149350073 |
| Practice Fax Number | 7149350075 |
| Mailing Telephone | 7149350073 |
| Mailing Fax Number | 7149350075 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | CRNA672 | CA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740072 | Soo Kyung Song | Dentist | 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-3859 | 2016-02-15 |
| 1215190947 | Soo Ok Song | Dentist | 344 Main St, Barnstable, MA 02601 | 2008-07-02 |
| Street Address |
2776 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366411217 | Angeline Chang Barnes | Anesthesiology | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2006-03-14 |
| 1972126696 | Yasemin Bulut Balin | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-28 |
| 1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
| 1891329157 | Cody Tyler Casalegno | Family Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-02-26 |
| 1427688167 | Marlynn Ortiz | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-01-22 |
| 1295380517 | Houman Badrzadeh | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-08-04 |
| 1982258349 | Rajesh Chundu | Internal Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-24 |
| 1982257531 | Chase Bastian | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-23 |
| 1497308100 | Mary Catherine Mora Valdez-guzman | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| 1760035489 | Jakob Francis | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104984 | Temre Jane Ball | Chore Provider | 1235 E 15th St, Long Beach, CA 90813-2201 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874696 | Max Maydanik | Chore Provider | 212 Red Oak Dr E Apt H, Sunnyvale, CA 94086-6609 | 2020-09-05 |
| 1497367924 | Changing Lives In The Central Valley LLC | Chore Provider | 478 E Yosemite Ave Ste C, Merced, CA 95340-8467 | 2020-08-17 |
| 1710504196 | International Elder Care Solutions, Inc. | Chore Provider | 950 County Square Dr Ste 204, Ventura, CA 93003-5481 | 2020-07-01 |
| 1831718105 | Meline Garibyan | Chore Provider | 936 W Avenue J4 Ste 203a, Lancaster, CA 93534-4246 | 2020-04-15 |
| 1568000339 | Wenda Renee Wilson Doby | Chore Provider | 1903 Glow Pointe, San Jacinto, CA 92582 | 2019-12-12 |
| 1609435791 | Eileen Roberts | Chore Provider | C/o Eileen Roberts, 5200 Clark Ave Unit 846, Lakewood, CA 90714 | 2019-06-12 |
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1952885899 | Kathleen M Bankerd | Chore Provider | 2192 S Coast Hwy, Oceanside, CA 92054-6536 | 2018-09-17 |
| 1013409739 | Eddie M Turner | Chore Provider | 1424 4th St Ste 405, Santa Monica, CA 90401-3446 | 2018-05-30 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on MS. SOO JA SONG.
| 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.