Jennie Yoonjung Song

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

4911 Issued in CA

Practice address

1150 Tilton Dr
Sunnyvale, CA 94087-2440

Phone

(408) 735-7200

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1346692225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787A MAURICIA AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 TILTON DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872440",
            "telephone_number": "408-735-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JENNIE YOONJUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathryn Snyder, MA
• Inna Sochava
• Diana Solomon, IBCLC
• Ann Somervell, R.N.
• Jordan Sonander-Dangerfield, DPT
• Yoon Sun Song
• Soniya More DDS Inc.
• Eric Koji Sonobe
• South County Community Health Center Inc
• South Valley Health Center Inc

• Neurorehabilitation Occupational Therapist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Neurorehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.