Active NPI
Eun Young Song, D.C.
- Chiropractor
- Fullerton, CA
National Provider Identifier
1366788648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32478
- Practice address
- 1324 W Commonwealth Ave
Fullerton, CA 92833-2724 - Phone
- (714) 446-0200
- Fax
- (714) 451-8974
- NPI assigned
- Dec 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32478 | CA | Primary |
Addresses
Primary practice location
1324 W Commonwealth Ave
Fullerton, CA 92833-2724
Mailing address
1324 W Commonwealth Ave
Fullerton, CA 92833-2724
Phone (714) 446-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32478 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.Y Song Chiropractic,Apc | Chiropractor | Current | Accepting new patients |
Locations
1324 W Commonwealth Ave
Fullerton, CA 92833
Phone (714) 446-0200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1366788648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 W COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332724",
"telephone_number": "714-446-0200",
"fax_number": "714-451-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 W COMMONWEALTH AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332724",
"telephone_number": "714-446-0200",
"fax_number": "714-451-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "EUN YOUNG",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-14",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.