SORA SONG MD
NPI 1003278425
Pediatrics in Las Vegas, NV

Q: What is Sora Song's NPI number?

The NPI number for Sora Song is 1003278425. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Sora Song's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sora Song was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2016

3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109(702) 457-5437(702) 464-5801 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Aug 15, 2021, Jul 1, 2019 and 1 more (4 updates tracked since 2016).

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About Sora Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SORA SONG MD (NPI 1003278425) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (21284) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1003278425

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSORA SONGCredential: MD

Location Address3201 S MARYLAND PKWY STE 608Las Vegas, NV 89109-2428

Mailing Address3201 S Maryland Pkwy Ste 608Las Vegas, NV 89109-2428 · (702) 457-5437 · Fax (702) 464-5801

Phone(702) 457-5437

Fax(702) 464-5801

Sole ProprietorNo

Enumeration DateMarch 24, 2016

Last NPPES UpdateMarch 18, 20224 updates tracked since enumeration

NPPES CertifiedMarch 18, 2022

✔ NPI 1003278425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NV · 21284✔ Licensed in CA · A152715

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3201 S MARYLAND PKWY STE 608, Las Vegas, NV 89109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA J BOSCALJON MD

Pediatrics