Charles Song, M.D.
Charles Song, M.D. is a Pediatric Allergy/Immunology Physician in Los Angeles, CA, registered under NPI 1790792869. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 200 MEDICAL PLAZA SUITE 265, Los Angeles, CA 90095. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G23461 | CA | Pediatric Allergy/Immunology Physician primary |
| G23461 | CA | Specialist |
This provider holds licence G23461 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Allergy/immunology
- PAC ID
- 0446214639
Medicare enrolment is recorded as approved under the provider type Practitioner - Allergy/immunology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Allergy/Immunology covers
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. NUCC Health Care Provider Taxonomy, code 2080P0201X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0201X | Pediatric Allergy/Immunology Physician Pediatric Allergy/Immunology | G23461 | CA | primary |
| 174400000X | Specialist | G23461 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790792869 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 2, 2006 |
| Last updated | Jul 5, 2018 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
200 MEDICAL PLAZA SUITE 265 Los Angeles, CA 90095 (310) 825-0867 |
| Mailing address |
5767 W CENTURY BLVD STE 400 Los Angeles, CA 90045 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 7 | 9 | 2 | 8 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 5 | 9 | 4 | 8 | 3 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.