Individual provider · Type 1 NPI
Seoyoun Song
General Practice Dentistry · La Mirada, CA
NPI number
1609451855
Active
Practice location
15769 Imperial Hwy
La Mirada, CA 90638-2510
Mailing address
647 Daniel Freeman Cir
Inglewood, CA 90301-4146
Other practice locations
- 15435 S Western Ave Ste 101, Gardena, CA 90249-4331 · (347) 391-7757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 39095 (TX) |
| General Practice Dentistry Primary | 1223G0001X | 108587 (CA) |
General Practice Dentistry: 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.
3 other providers at this address
Other general practice dentistry providers in La Mirada
- Sam Cho, DDSGeneral Practice Dentistry La Mirada, CA NPI 1023190519
- Sergio G. Ocampo, DDSGeneral Practice Dentistry La Mirada, CA NPI 1063503993
- Dong Ho Kim, DDSGeneral Practice Dentistry La Mirada, CA NPI 1225198021
- Chong Hon Rha, D D SGeneral Practice Dentistry La Mirada, CA NPI 1245406479
- Anthony Atalla, DMDGeneral Practice Dentistry La Mirada, CA NPI 1245905041
- John Roland Westermeyer, DDSGeneral Practice Dentistry La Mirada, CA NPI 1285844332
- Myung Shin Kim, DDSGeneral Practice Dentistry La Mirada, CA NPI 1386789170
- Pravay PadiaGeneral Practice Dentistry La Mirada, CA NPI 1427720549
About NPI 1609451855
Seoyoun Song's National Provider Identifier is 1609451855, issued on Mar 9, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Mirada, CA. The record was last updated on Feb 28, 2026.