ANDREW K SONG M.D. NPI 1851496996

NPI Information

NPI: 1851496996
Provider Name: ANDREW K SONG, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
400 N PEPPER AVE
COLTON, CA
ZIP 92324
Phone: (909) 580-1520
Get Directions

Andrew K Song, M.D. is a diagnostic radiology radiology in Colton, CA with 29 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Andrew K Song, M.D. NPI is 1851496996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

400 N PEPPER AVE
COLTON, CA
ZIP 92324-801
Phone: (909) 580-1520
Fax: (909) 580-1561

The NPI 1851496996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 11/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0904X	Radiology	Nuclear Radiology	A60632	CALIFORNIA	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	A60632	CALIFORNIA	No
3	2085U0001X	Radiology	Diagnostic Ultrasound	A60632	CALIFORNIA	No
4	2085R0202X	Radiology	Diagnostic Radiology	A60632	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A60632	OTHER	CALIFORNIA	STATE LICENSE
2	00A606320	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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