Hongwoo Song, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19661 Issued in CA

Practice address

80 Diamond
Irvine, CA 92620-2143

Phone

(516) 510-4400

NPI assigned

Apr 11, 2018

Last updated

Aug 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: hongwoo.song@706997947596804.direct.elationemr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonah Medical Group, Inc.

  dba Nanoon Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1942591847
  Medicare reassignment NPD
• Med Forte Medical Group

  • Primary Care Clinic/Center
  • Lynwood, CA
  • NPI 1154059749
  Medicare reassignment NPD
• Hongwoo Song Medical Corporation

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1376448555
  Authorized official Same address or phone
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Oc Premier Cardiology and Vascular Institute Inc

  • Cardiovascular Disease Physician
  • Buena Park, CA
  • NPI 1699482109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1417454869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DIAMOND",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202143",
            "telephone_number": "516-510-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DIAMOND",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202143",
            "telephone_number": "516-510-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HONGWOO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Sonbol
• Daniel Sonboli
• Song Plastic Surgery, Inc.
• Ci Song
• Ellen Teresa Song, M.D.
• Kyle Robert Song, MD
• Seon Song
• Yun U Song, DDS.
• Harveen Soni
• Preeti Soni, RD, CDCES

• Family Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.