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JUSTIN JARDIN SONG MD
NPI 1487231361
Internal Medicine in Los Angeles, CA

Active since March 26, 2021PECOS Enrolled
200 UCLA MEDICAL PLZ STE 420, LOS ANGELES, CA 90095(310) 206-6232 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 25, 2024, Apr 9, 2024, Mar 26, 2021 (3 updates tracked since 2021).

About Justin Jardin Song Md NPPES

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

JUSTIN JARDIN SONG MD (NPI 1487231361) is an individual internal medicine provider in Los Angeles, California, licensed in California (A193692) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487231361
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN JARDIN SONGCredential: MD
Location Address200 UCLA MEDICAL PLZ STE 420Los Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Phone(310) 206-6232
Sole ProprietorYes
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1487231361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A193692
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 UCLA MEDICAL PLZ STE 420, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Jardin Song Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ALEX NOVAK KOKALY MD, MHSA
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-4083
ESTHER HYO KANG MD
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6232
ALEXANDER TAN-HUY PHAM MD
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6232
DAUN CHUNG D.O.
Physical Medicine & Rehabilitation
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6232
DR. XIAOMENG DENG MD
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6232
ERICA JOANNE KIM MD
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6232
DR. NIOUSHA MOINI MD, MPH
Family Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 794-1878
DR. JACOB KNOX QUINTON M.D.
Internal Medicine
200 UCLA MEDICAL PLZ STE 420
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6232

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 Justin Song's NPI number?

The NPI number for Justin Song is 1487231361. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Justin Song located?

Justin Song practices at 200 Ucla Medical Plz Ste 420, Los Angeles, CA 90095. The listed phone number is (310) 206-6232.

What is Justin Song's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Song enrolled in Medicare?

Yes. Justin Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Song was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.