Jooyoung Song, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS108828 Issued in CA

Practice address

28212 Kelly Johnson Pkwy Ste 290
Valencia, CA 91355-5093

Phone

(888) 700-6623

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1225535073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 290",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 290",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555093",
            "telephone_number": "888-700-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JOOYOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS108828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah Solis
• India Solomon
• Clarisa Soltero
• Diane Jungyun Song, OD
• Grace Y Song, O.D.
• Jan Jeffrey Sonza
• Soo Jin Kim Chiropractic Inc (Primo Chiropractic & Acupuncture)
• Robbie Kaveh Sooriash, M.D.
• Susan Lynn Soppe, P.T.
• Patrizia Sorge, LCSW

• Endodontics in Valencia, CA
• Providers in Valencia, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.