Ji Soo Song
- Industry payments
- $159
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2024
- Practice address
- 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033
- Practice phone
- Call (805) 222-5803
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
California Dermatology Institute
Los Angeles, California
Find Ji Soo Song's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ji Soo Song is a physician assistant in Los Angeles, California
Ji Soo Song practices at California Dermatology Institute in Los Angeles, California.
Ji Soo Song's NPI, 1619792900, was assigned on November 20, 2024.
- NPI
- 1619792900NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9537696455
- NPI enumeration date
- November 20, 2024
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (805) 222-5803
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 28
- Medical school graduation
- 2024
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Ji Soo Song practices at California Dermatology Institute in Los Angeles, California
Ji Soo Song's primary practice is California Dermatology Institute, at 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033 in Los Angeles County. The practice phone is (805) 222-5803.
- California Dermatology Institute1701 E Cesar E Chavez Ave, Los Angeles, CA 90033 · Los Angeles CountyPhone(805) 222-5803
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Ji Soo Song is affiliated with 2 sites of care and 1 medical group
Ji Soo Song's primary practice is California Dermatology Institute in Los Angeles, California. The medical group on file is California Dermatology Institute. Dmand AI also links Ji Soo Song to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Ji Soo Song's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ji Soo Song practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| California Dermatology Institute | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Ji Soo Song is one of 11,482 physician assistants in California
Physician assistant is Ji Soo Song's primary specialty in the NPI Registry, under taxonomy code 363A00000X.
Specialties and state licenses
- Physician assistantPrimary
Physician assistants near Ji Soo Song
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ji Soo Song's patients have a median age of 47
Across all payers, Dmand AI patient panel data puts Ji Soo Song's median patient age at 47, with 53% women.
Ji Soo Song's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 47
Patient panel by sex, all payers
- Women53%
- Men46%
Source: Dmand AI Patient Panel Data
How Ji Soo Song takes part in Medicare
Ji Soo Song accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Ji Soo Song received $159 in industry payments in 2025
CMS Open Payments shows 3 general payments to Ji Soo Song from 2 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Arcutis Biotherapeutics, Inc. paid the most, $132.
Companies that paid Ji Soo Song the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Ji Soo Song's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ji Soo Song
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ji Soo Song's NPI number?
Ji Soo Song's NPI number is 1619792900. It was assigned on November 20, 2024, and it is active in the NPI Registry.
What does Ji Soo Song specialize in?
Ji Soo Song is a physician assistant in Los Angeles, California. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Ji Soo Song practice?
Ji Soo Song practices at 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033. Ji Soo Song's primary practice is California Dermatology Institute in Los Angeles, California. Dmand AI also links Ji Soo Song to 1 group practice or clinic.
What is Ji Soo Song's office phone number?
The practice phone on file for Ji Soo Song is (805) 222-5803.
What medical group is Ji Soo Song part of?
Ji Soo Song is linked to California Dermatology Institute.
Does Ji Soo Song accept Medicare?
Yes. CMS lists Ji Soo Song as accepting Medicare assignment.
Has Ji Soo Song received payments from drug or device companies?
CMS Open Payments shows $159 in general payments to Ji Soo Song from 2 companies from 2025 to 2025. The largest total came from Arcutis Biotherapeutics, Inc.
How long has Ji Soo Song been practicing?
Ji Soo Song graduated from medical school in 2024, 2 years ago.
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