DR. DWIGHT J SONG (NPI# 1912131210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912131210 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT J SONG |
| Credential | PHARM.D. |
| Practice Address |
2018 Griffith Park Blvd Apt #. 124 Los Angeles CA 90039-3563 |
| Mailing Address |
2018 Griffith Park Blvd Apt #124 Los Angeles CA 90039-3563 |
| Practice Telephone | 2137180381 |
| Mailing Telephone | 2137180381 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
62165 | CA | Pharmacy Service Providers |
| Street Address |
2018 GRIFFITH PARK BLVD APT #. 124 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90039-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891298642 | Shlomit Yelin-arber | Marriage & Family Therapist | 3401 Glendale Blvd Rm 2, Los Angeles, CA 90039 | 2018-03-16 |
| 1306385646 | Robert Dao | Pharmacist | 11115 S Main St, Los Angeles, Ca, Los Angeles, CA 90039 | 2017-02-20 |
| 1528437951 | Marcos Farias | Licensed Vocational Nurse | 3108 Hollydale Drive Apt 102, Los Angeles, CA 90039 | 2015-09-16 |
| 1578962312 | Alexandria Trubatisky | Nurse Practitioner | 3026 Casitas Ave, Los Angeles, CA 90039 | 2014-08-18 |
| 1780003350 | Amanda Cohen | Acupuncturist | 3036 Glendale Blvd., Los Angeles, CA 90039 | 2014-04-10 |
| 1710231568 | Alan Russell Hedman | Counselor | 3352 Larga Ave, Los Angeles, CA 90039 | 2012-11-01 |
| 1427317486 | Christopher Peabody | Emergency Medicine | 1200 North State Street Room 1011, Los Angeles, CA 90039 | 2012-05-11 |
| 1447529359 | Janein Chavez | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 205, Los Angeles, CA 90039 | 2011-12-21 |
| 1265727358 | Erzsebet Olah | Licensed Vocational Nurse | 2586 Lake-view Ave, Los Angeles, CA 90039 | 2011-06-16 |
| 1750691168 | Sharon Furman | Specialist | 3147 Glenmanor Place, 145d, Los Angeles, CA 90039 | 2010-10-19 |
| Find all providers in zip 90039 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304765 | Alexander J Kellogg | Pharmacist | 236 S Los Angeles St Apt 334b, Los Angeles, CA 90012-3780 | 2018-08-04 |
| 1528564697 | Bonnie Lee | Pharmacist | 4640 Richelieu Ter, Los Angeles, CA 90032-3245 | 2018-04-05 |
| 1205347150 | Mee Kyoung Kim | Pharmacist | 3511 W Olympic Blvd Ste 102, Los Angeles, CA 90019-3563 | 2017-10-18 |
| 1922533231 | Edward Jai | Pharmacist | 550 S Vermont Ave Ste 903, Los Angeles, CA 90020-1912 | 2017-04-24 |
| 1346601036 | Jarrin Kean Cheng | Pharmacist | 4755 Templeton St Apt 2122, Los Angeles, CA 90032-2146 | 2016-03-09 |
| 1457745820 | Stephanie Mok | Pharmacist | 1100 N State St Rm 1b311, Los Angeles, CA 90033-5000 | 2015-03-24 |
| 1558655480 | Peyman Kharazi | Pharmacist | 1921 Glendon Ave, Apt 301, Los Angeles, CA 90025-4696 | 2011-06-08 |
| 1538489133 | Ng Patricia Lin | Pharmacist | 245 South Fetterly Avenue, Los Angeles, CA 90022 | 2010-06-04 |
| 1366772816 | Maria Kootsikas | Pharmacist | 1502 S. Crescent Heights Boulevard, Los Angeles, CA 90035-3816 | 2010-01-06 |
| 1477648335 | Michelle Cheung Lew | Pharmacist | 351 East Temple, Los Angeles, CA 90012 | 2006-10-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90039 |
Please comment or provide details below to improve the information on DR. DWIGHT J 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.