CHAEWON SONG, MD, INC
NPI 1265502017
Internal Medicine - Geriatric Medicine in Garden Grove, CA

Active since November 09, 2006
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843(714) 534-6516(714) 530-0582 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chaewon Song, Md, Inc NPPES

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

CHAEWON SONG, MD, INC (NPI 1265502017) is a healthcare organization registered as a geriatric medicine in Garden Grove, California and active in the NPI registry since November 2006. The organization lists Chaewon Song, M.d., as its authorized official.

NPPES Registry Identity

NPI1265502017
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameCHAEWON SONG, MD, INC
Location Address12665 GARDEN GROVE BLVD, SUITE 503Garden Grove, CA 92843-1901
Mailing Address12665 Garden Grove Blvd, Suite 503Garden Grove, CA 92843-1901 · (714) 534-6516 · Fax (714) 530-0582
Fax(714) 530-0582
Organization SubpartNo
Authorized OfficialChaewon SongM.d. · (714) 534-6516
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 7, 2013
NPI 1265502017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in CA · C52295
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843

Other Identifiers 2

Medicare UPINH51490CT
Medicare PINW20282CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Physical Therapist
12665 GARDEN GROVE BLVD, SUITE 707
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, #604
GARDEN GROVE, CA 92843
Dentist
12665 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92843
Pharmacist
12665 GARDEN GROVE BLVD, #108
GARDEN GROVE, CA 92843
Clinic/Center (Medical Specialty)
12665 GARDEN GROVE BLVD, SUITE 611
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 713
GARDEN GROVE, CA 92843
Clinical Medical Laboratory
12665 GARDEN GROVE BLVD, 203
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 300
GARDEN GROVE, CA 92843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaewon Song, MD, Inc's NPI number?

The NPI number for Chaewon Song, MD, Inc is 1265502017. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Chaewon Song, MD, Inc located?

Chaewon Song, MD, Inc is located at 12665 Garden Grove Blvd Suite 503, Garden Grove, CA 92843. The listed phone number is (714) 534-6516.

What is Chaewon Song, MD, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Chaewon Song, MD, Inc was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.