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DR. SOO KYUNG SONG DDS, MS
NPI 1750740072
Dentist - Pediatric Dentistry in Pasadena, CA

Active since February 15, 2016
686 E UNION STREET, SUITE 150, PASADENA, CA 91101(626) 460-1002(626) 460-0406 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Jul 31, 2019, Feb 15, 2016 (3 updates tracked since 2016).

About Dr. Soo Kyung Song Dds, Ms NPPES

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

DR. SOO KYUNG SONG DDS, MS (NPI 1750740072) is an individual pediatric dentistry provider in Pasadena, California, licensed in California (101142) and active in the NPI registry since February 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750740072
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SOO KYUNG SONGCredential: DDS, MS
Location Address686 E UNION STREET, SUITE 150Pasadena, CA 91101-5828
Mailing Address686 E Union Street, Suite 150Pasadena, CA 91101-5828 · (626) 460-1002 · Fax (626) 460-0406
Phone(626) 460-1002
Fax(626) 460-0406
Sole ProprietorYes
Enumeration DateFebruary 15, 2016
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1750740072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 101142
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
686 E UNION STREET, Pasadena, CA 91101
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Other Names 1

Former Name (1)Dr. Soo Kyung Lee Dds, Ms

Secondary Practice Locations 2

Location 14608 Katella Ave Ste 101Los Alamitos, CA 90720-2685 · Phone (562) 596-8668
Location 21610 W Edinger Ave Ste CSanta Ana, CA 92704-4339 · Phone (714) 432-7337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Soo Song's NPI number?

The NPI number for Soo Song is 1750740072. It was assigned to this individual provider in the NPPES registry on February 15, 2016. The provider is also known as Dr. Soo Kyung Lee Dds, Ms.

Where is Soo Song located?

Soo Song practices at 686 E Union Street Suite 150, Pasadena, CA 91101. The listed phone number is (626) 460-1002.

What is Soo Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Soo Song accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Soo 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 Soo Song was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.