Individual Healthcare Provider
Charles H Song, M.D.
Provider's NPPES record last updated: July 5, 2018
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1790792869
- Primary Specialty
- Pediatrics — Pediatric Allergy/Immunology
- Practice Location
- Los Angeles, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:35 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Pediatric Allergy/Immunology
Allopathic & Osteopathic Physicians
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Taxonomy code 2080P0201X Specialist
Other Service Providers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Taxonomy code 174400000X
Provider-Reported License Information
- Pediatrics (California)
- G23461
- Specialist (California)
- G23461
Practice Locations
Practice Location
200 Medical Plaza Suite 265
Los Angeles, California 90095-6814
Phone: (310) 825-0867
Additional Practice Location
400 S Sepulveda Blvd
Suite 220
Manhattan Beach, California 90266-6814
Phone: (310) 374-4481
Fax: (310) 374-4584
Additional Practice Location
400 S Sepulveda Blvd
Suite 220
Manhattan Beach, California 90266-6814
Phone: (310) 374-4481
Fax: (310) 374-4584
Record Information
- Enumeration Date
- August 2, 2006
- Provider's NPPES Record Last Updated
- July 5, 2018
- NPISignal NPPES Dataset
- August 2026
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