DR. JOON HWA SONG (NPI# 1689897670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689897670 |
| Entity Type | Individual |
| Full Name | DR. JOON HWA SONG |
| Credential | D.D.S. |
| Practice Address |
31641 Auto Center Dr Ste.2a Lake Elsinore CA 92530-4535 |
| Practice Telephone | 9516746889 |
| Practice Fax Number | 9516746880 |
| Mailing Telephone | 9516746889 |
| Mailing Fax Number | 9516746880 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25316 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746232 | Joon Kyung Song | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2005-11-09 |
| 1558667493 | Joon Hyung Song | Chiropractor | 7950 Dublin Blvd, 311, Dublin, CA 94568-2929 | 2011-02-09 |
| 1508057639 | Joon Song | Obstetrics & Gynecology | 201 E 28th St, Suite #1b, New York, NY 10016-8538 | 2007-08-05 |
| Street Address |
31641 AUTO CENTER DR STE.2A |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811097991 | Anita C Singh | Dentist | 31641 Auto Center Dr, Ste. 2a, Lake Elsinore, CA 92530-4535 | 2006-09-25 |
| 1508227562 | Sun Ray Holding Company, LLC | Clinic/Center | 31641 Auto Center Dr, Room 1, Lake Elsinore, CA 92530-4535 | 2016-03-17 |
| 1801153655 | Anita C. Singh, Dds, Inc | Dentist | 31641 Auto Center Dr, 2a, Lake Elsinore, CA 92530-4535 | 2012-04-18 |
| 1912191040 | Charles Ralph Donofrio | Chiropractor | 31641 Auto Center Dr, Suite 1-c, Lake Elsinore, CA 92530-4535 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462534 | Amit Shah & Aarti Puri D.d.s Inc | Dentist | 31762 Mission Trl # 1, Lake Elsinore, CA 92530-4545 | 2018-10-09 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1619402716 | Ghorbanian Dds, Vii, Inc Castillo G Dental Corp | Dentist | 31739 Riverside Dr Ste C, Lake Elsinore, CA 92530-7818 | 2017-04-26 |
| 1508218017 | S.p.levi,dds, Inc. | Dentist | 32235 Mission Trl Ste 8, Lake Elsinore, CA 92530-4527 | 2016-07-08 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1780096636 | Western Dental Services, Inc. | Dentist | 31960 Mission Trl, Lake Elsinore, CA 92530-4539 | 2014-05-27 |
| 1952745895 | Khaled Eissa Dds Inc | Dentist | 31737 Riverside Dr Ste B, Lake Elsinore, CA 92530-7890 | 2013-04-22 |
| 1982911194 | Marsha Tavakoli Levi | Dentist | 32235 Mission Trl, Suite 8, Lake Elsinore, CA 92530-4527 | 2010-09-09 |
| 1225358161 | Naznin S Bholat | Dentist | 31581 Canyon Estates Dr Ste 201, Lake Elsinore, CA 92532-0412 | 2010-06-02 |
| 1710178884 | Dr. Zhang's Dental Office | Dentist | 2503 E Lakeshore Dr, Suite E, Lake Elsinore, CA 92530-4433 | 2007-08-05 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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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.