YOUNG EUN SONG (NPI# 1700358116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700358116 |
| Entity Type | Individual |
| Full Name | YOUNG EUN SONG |
| Practice Address |
6261 Stanton Ave Buena Park CA 90621-2436 |
| Mailing Address |
2101 Crescent Oak Irvine CA 92618-4019 |
| Practice Telephone | 7147394325 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95010329 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6261 STANTON AVE |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711224 | Joseph Medical Group Inc. | Family Medicine | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2005-12-21 |
| 1073022828 | Rana Choi | Nurse Practitioner | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2017-09-25 |
| 1801347273 | Joseph Medical Group Inc. | Specialist | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2016-10-20 |
| 1760755839 | Joseph Medical Group, Inc. | Non-Pharmacy Dispensing Site | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2012-02-20 |
| 1710015425 | Joseph D Chun | Allergy & Immunology | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2007-03-02 |
| 1942395983 | Inil Lisa Lin | Family Medicine | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2006-10-04 |
| 1912910357 | Jane Bomeen Kong | Family Medicine | 6261 Stanton Ave, Buena Park, CA 90621-2436 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174573448 | Mirasol Fajardo | Nurse Practitioner | 6240 Descanso Ave, Buena Park, CA 90620-1013 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
Please comment or provide details below to improve the information on YOUNG EUN SONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.