Soo Ja Song, CRNA

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

CRNA672 Issued in CA

Practice address

2776 Pacific Ave
Long Beach, CA 90806-2613

Phone

(714) 935-0073

Fax

(714) 935-0075

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Diogenes Anesthesia Medical Group

  • Anesthesiology Physician
  • Long Beach, CA
  • NPI 1730133257
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538269337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 22678",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908012678",
            "telephone_number": "714-935-0073",
            "fax_number": "714-935-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062613",
            "telephone_number": "714-935-0073",
            "fax_number": "714-935-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SOO",
        "middle_name": "JA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "CA",
            "license": "CRNA672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Song
• Dianne Agnes Song, M.D.
• Hyun-Sung Song, PHARM.D.
• Jina Song
• Julia Song, M.D.
• Veronica Song
• Yu Song, PHARM D
• Joan Ann Sonnet
• Olamide Sonuga
• Sonus-USA, Inc.

• Chore Provider in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Chore Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.