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

Seoyoun Song

Individual provider General Practice Dentistry · NPI 1609451855

Seoyoun Song is a General Practice Dentistry in LA Mirada, California. Works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

15769 Imperial Hwy
LA Mirada, CA 90638-2510
Phone: (562) 217-4369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15435 S Western Ave Ste 101, Gardena, CA 90249-4331 — (347) 391-7757

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 108587 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 39095 (TX)

Record details

NPI number1609451855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESFebruary 28, 2026
Certification dateFebruary 28, 2026
Mailing address647 Daniel Freeman Cir, Inglewood, CA 90301-4146

Other providers in LA Mirada