IndividualActive
Seoyoun Song
NPI 1609451855 · General Practice Dentistry · La Mirada, CA
Seoyoun Song is a General Practice Dentistry provider in La Mirada, CA (NPI 1609451855).
Provider details
- NPI number
- 1609451855
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 39095 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15769 Imperial Hwy
La Mirada, CA 90638-2510
Phone: (562) 217-4369
Street-level locationGet directions
Mailing address
647 Daniel Freeman Cir
Inglewood, CA 90301-4146
Additional practice locations (1)
- 15435 S Western Ave Ste 101Gardena, CA 90249-4331Phone: (347) 391-7757
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2026-02-28
- Certified
- 2026-02-28
Frequently asked questions
- What is Seoyoun Song's NPI number?
- Seoyoun Song's National Provider Identifier (NPI) is 1609451855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seoyoun Song's specialty?
- Seoyoun Song is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Seoyoun Song located?
- Seoyoun Song's practice location on file with NPPES is 15769 Imperial Hwy, La Mirada, CA 90638-2510.
- What is Seoyoun Song's phone number?
- The practice phone number listed in the NPPES registry for Seoyoun Song is (562) 217-4369.
- Is Seoyoun Song's NPI active?
- Yes — Seoyoun Song's NPI (1609451855) is active in the NPPES registry as of the last update on 2026-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.