MI-KYOUNG SONG (NPI# 1619962131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619962131 |
| Entity Type | Individual |
| Full Name | MI-KYOUNG SONG |
| Credential | M.D. |
| Practice Address |
44139 Monterey Ave Ste A Palm Desert CA 92260-8700 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 7607790800 |
| Mailing Telephone | 8008982020 |
| Mailing Fax Number | 8448973788 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A55885 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 2000-132 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 50900030 | 05 | |
| NM | BC BS OF NM | NM004260 | 01 |
| NM | RRB MEDICARE RAILROAD | 180040573 | 01 |
| AZ | 543050 | 05 | |
| NM | 66411 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1420 Ocotillo Dr Ste D, El Centro, CA 922434251 | 9512603573 | |
| 44139 Monterey Ave Ste A, Palm Desert, CA 922608700 | 7607790800 | |
| 5757 Harper Drive Ne, Albuquerque, NM 87109 | 5058885757 | 5058893589 |
| Street Address |
44139 MONTEREY AVE STE A |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527153 | Benjamin Tautges | Optometrist | 44139 Monterey Ave Ste A, Palm Desert, CA 92260 | 2018-05-07 |
| 1760877120 | Steven Fish | Ophthalmology | 44139 Monterey Ave Ste A, Palm Desert, CA 92260-8700 | 2015-04-02 |
| 1952368920 | Alexander M Chop | Ophthalmology | 44139 Monterey Ave Ste A, Palm Desert, CA 92260-8700 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1891060646 | Jerome Allen Chatow | Ophthalmology | 35935 Royal Sage Ct, Palm Desert, CA 92211-2717 | 2012-03-13 |
| 1942593702 | Xuan Thanh Le-nguyen | Ophthalmology | 37029 Cook St Ste 105, Palm Desert, CA 92211-2968 | 2011-05-25 |
| 1174560825 | Harry Marshak | Ophthalmology | 74075 El Paseo, D2, Palm Desert, CA 92260-4118 | 2006-06-01 |
| 1457343568 | Steven G Lin | Ophthalmology | 36949 Cook St Ste 101, Palm Desert, CA 92211-6080 | 2005-08-16 |
| 1457353823 | Peter S. Spiegel | Ophthalmology | 44435 Town Center Way, Suite B, Palm Desert, CA 92260-2711 | 2005-08-15 |
| 1346858537 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 44651 Village Ct Ste 102, Palm Desert, CA 92260-3821 | 2020-07-14 |
| 1851856793 | Trilogy Eye Medical Group, Inc. | Ophthalmology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2019-02-05 |
| 1891250734 | Retina Institute of California Medical Group | Ophthalmology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2019-02-05 |
| 1760877120 | Steven Fish | Ophthalmology | 44139 Monterey Ave Ste A, Palm Desert, CA 92260-8700 | 2015-04-02 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on MI-KYOUNG 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.