Soo Kyung Song, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

101142 Issued in CA

Practice address

686 E Union Street
Suite 150
Pasadena, CA 91101-5828

Phone

(626) 460-1002

Fax

(626) 460-0406

NPI assigned

Feb 15, 2016

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

Other names 1

• Dr. Soo Kyung Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Hong and Lee Dental Corporation

  • Pediatric Dentistry
  • Fullerton, CA
  • NPI 1558568527
  NPD (past)
• Hong and Lee Dental Corporation

  • Pediatric Dentistry
  • Fullerton, CA
  • NPI 1871624387
  NPD (past)

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1750740072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 E UNION STREET",
            "address_2": "SUITE 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015828",
            "telephone_number": "626-460-1002",
            "fax_number": "626-460-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 E UNION STREET",
            "address_2": "SUITE 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015828",
            "telephone_number": "626-460-1002",
            "fax_number": "626-460-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4608 Katella Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907202685",
            "country_code": "US",
            "telephone_number": "562-596-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 W Edinger Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927044339",
            "country_code": "US",
            "telephone_number": "714-432-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "SOO",
        "middle_name": "KYUNG",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOO",
            "last_name": "LEE",
            "middle_name": "KYUNG",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nick Somsavanh
• Seungai Son, LAC
• Sona Asatryan DDS Professional Corp
• Hannah Ji-Hae Song, CCC-SLP
• Lei Song, L.AC, MSAOM
• Tianjiao Song
• Yi Song
• Longdy Sonn
• George M Sonneborn, AFE23957
• Joanna Sonnekalb, M.S.

• Pediatric Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.