Individual provider · Type 1 NPI

Charles H. Song, MD

Pediatric Allergy/Immunology Physician · Los Angeles, CA

NPI number 1790792869 Active

Practice location

200 Medical Plaza Suite 265
Los Angeles, CA 90095-6814

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 400 S Sepulveda Blvd, Suite 220, Manhattan Beach, CA 90266-6814 · (310) 374-4481
  • 400 S Sepulveda Blvd, Suite 220, Manhattan Beach, CA 90266-6814 · (310) 374-4481

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XG23461 (CA)
Pediatric Allergy/Immunology Physician Primary 2080P0201XG23461 (CA)

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

5 other providers at this address

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About NPI 1790792869

Charles H. Song, MD's National Provider Identifier is 1790792869, issued on Aug 2, 2006. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 5, 2018.