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SEOYOUN SONG
NPI 1609451855
Dentist - General Practice in La Mirada, CA

Active since March 09, 2021
15769 IMPERIAL HWY, LA MIRADA, CA 90638(562) 217-4369 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2023, Mar 9, 2021 (2 updates tracked since 2021).

About Seoyoun Song NPPES

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

SEOYOUN SONG (NPI 1609451855) is an individual general practice provider in La Mirada, California, licensed in California (108587) and active in the NPI registry since March 2021. She maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1609451855
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSEOYOUN SONG
Location Address15769 IMPERIAL HWYLa Mirada, CA 90638-2510
Mailing Address647 Daniel Freeman CirInglewood, CA 90301-4146 · (347) 391-7757
Phone(562) 217-4369
Sole ProprietorNo
Enumeration DateMarch 9, 2021
Last NPPES UpdateFebruary 28, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2026
✔ NPI 1609451855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 108587✔ Licensed in TX · 39095
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
15769 IMPERIAL HWY, La Mirada, CA 90638
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Secondary Practice Location 1

Location 115435 S Western Ave Ste 101Gardena, CA 90249-4331 · Phone (347) 391-7757

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Humana, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. SERGIO G. OCAMPO DDS
Dentist (General Practice)
15769 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-9898
SERGIO OCAMPO DDS PC
Dentist
15769 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-9898
RANDY ARRIETA ROSALES DDS
Dentist
15769 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-9898

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 Seoyoun Song's NPI number?

The NPI number for Seoyoun Song is 1609451855. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Seoyoun Song located?

Seoyoun Song practices at 15769 Imperial Hwy, La Mirada, CA 90638. The listed phone number is (562) 217-4369.

What is Seoyoun Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Seoyoun Song accept?

Health plans from BEST Life, Humana and UnitedHealthcare list Seoyoun Song 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 Seoyoun Song was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.