Song Medical Group Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SONG MEDICAL GROUP INC

Practice address

12665 Garden Grove Blvd Ste 503
Garden Grove, CA 92843-1919

Phone

(714) 530-3740

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Chae Won Song, MDNPI 1972589687

Title

President /MD

Phone

(714) 530-3740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaewon Song, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Garden Grove, CA
  • NPI 1972589687
  Medicare reassignment NPD Authorized official
• Shieun Hong

  • Adult Health Nurse Practitioner
  • Garden Grove, CA
  • NPI 1922467299
  Medicare reassignment NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1831900638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 503",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431919",
            "telephone_number": "714-530-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 503",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431919",
            "telephone_number": "714-530-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "CHAE WON",
        "authorized_official_title_or_position": "PRESIDENT /MD",
        "authorized_official_telephone_number": "714-530-3740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solo Medical Billing, Inc.
• Diego Solorio
• George Solovjev, PSYD
• Emely Somoano, BCBA
• Son Thanh Le MD Inc
• Bingjie Song
• Chaewon Song, MD
• Chanyang Song
• Inchul Song, AC
• Min Seon Song, LAC

• Medical Specialty Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.