Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ellen Teresa Song, MD

Individual provider Internal Medicine Physician · NPI 1528079589

Dr. Ellen Teresa Song, MD is an Internal Medicine in Irvine, California. Graduated from University of Michigan Medical School in 2000, 26 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Trained at
University of Michigan Medical School
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16300 Sand Canyon Ave Ste 209
Irvine, CA 92618-3712
Phone: (949) 216-6900
Fax: (949) 387-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A86825 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A86825 (CA)

Record details

NPI number1528079589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESDecember 19, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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