SONG HOE KOO
NPI 1598924292
Dentist - Periodontics in Diamond Bar, CA

Q: What is Song Koo's NPI number?

The NPI number for Song Koo is 1598924292. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Q: What is Song Koo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Song Koo was last updated on September 26, 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.

Active since June 06, 2008

2040 S BREA CANYON RD, STE #210, DIAMOND BAR, CA 91765(909) 396-0077(909) 396-0071 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Song Hoe Koo NPPES

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

SONG HOE KOO (NPI 1598924292) is an individual periodontics provider in Diamond Bar, California, licensed in California (51096) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1598924292

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameSONG HOE KOO

Location Address2040 S BREA CANYON RD, STE #210Diamond Bar, CA 91765

Mailing Address2040 S Brea Canyon Rd, Ste #210Diamond Bar, CA 91765 · (909) 396-0077 · Fax (909) 396-0071

Phone(909) 396-0077

Fax(909) 396-0071

Sole ProprietorNo

Enumeration DateJune 6, 2008

Last NPPES UpdateSeptember 26, 2013

✔ NPI 1598924292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 51096

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2040 S BREA CANYON RD, Diamond Bar, CA 91765

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Song Koo's NPI number?

The NPI number for Song Koo is 1598924292. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Song Koo located?

Song Koo practices at 2040 S Brea Canyon Rd Ste #210, Diamond Bar, CA 91765. The listed phone number is (909) 396-0077.

What is Song Koo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Song Koo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Song Koo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Song Koo was last updated on September 26, 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.