Active NPI
Benjamin I Song MD Inc
- Orthopaedic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1437242088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A36221
- Legal business name
- BENJAMIN I SONG MD INC
- Practice address
- 1133 S Crenshaw Blvd
Los Angeles, CA 90019 - Phone
- (323) 456-7890
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Song, M.D.
- Title
- President
- Phone
- (323) 456-7890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A36221 | CA | Primary |
Addresses
Primary practice location
1133 S Crenshaw Blvd
Los Angeles, CA 90019
Mailing address
1133 S Crenshaw Blvd
Los Angeles, CA 90019
National Provider Directory
National Provider DirectoryLocations
1300 N Vermont Ave
#V
Los Angeles, CA 90027
Phone (213) 413-3000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1437244951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437242088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 S CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 S CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90019",
"telephone_number": "323-456-7890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN I SONG MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-456-7890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A36221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Ruth L Benitez, RN
- Zenayda Rocio Benitez, MPA
- Benjamin Basseri MD Inc.
- Benjamin Behroozan MD Inc (Great Care Medical Group)
- Benjamin E. Scherer, D.P.M, Inc (Foot and Ankle LA)
- Benjamin Pourmorady DDS a Professional Corporation Inc.
- Benjamin Rosenberg, DDS Apc
- Alexis Benjamin
- Brian S Benjamin, D.O.
- Dominique Benjamin, RN, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.