JOO LEE SONG M.D.
NPI 1508254129
Pediatrics - Pediatric Emergency Medicine in Los Angeles, CA

Active since January 05, 2015PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, MS 68, LOS ANGELES, CA 90027(323) 361-2113 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joo Lee Song M.d. NPPES

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

JOO LEE SONG M.D. (NPI 1508254129) is an individual pediatric emergency medicine provider in Los Angeles, California, licensed in California (A129660) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2012).

NPPES Registry Identity

NPI1508254129
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJOO LEE SONGCredential: M.D.
Location Address4650 W SUNSET BLVD, MS 68Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd, Ms 68Los Angeles, CA 90027-6062
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2012
Enumeration DateJanuary 5, 2015
Last NPPES UpdateApril 13, 2023
NPPES CertifiedApril 13, 2023
NPI 1508254129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in CA · A129660
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License A129660 (CA)
4650 W SUNSET BLVD, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joo Lee Song M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345553830
PECOS Enrollment IDI20150713001380
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.

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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Joo Song's NPI number?

The NPI number for Joo Song is 1508254129. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Joo Song located?

Joo Song practices at 4650 W Sunset Blvd Ms 68, Los Angeles, CA 90027. The listed phone number is (323) 361-2113.

What is Joo Song's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Joo Song enrolled in Medicare?

Yes. Joo Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joo Song was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.