Individual provider Active NPI

Saeun Song, DACM

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1467133470
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19823 Issued in CA
Practice address
74 Sycamore LN
Buena Park, CA 90621-1687
Phone
(213) 842-3566
NPI assigned
Jul 31, 2023
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19823 CA Primary

Addresses

Primary practice location

74 Sycamore LN
Buena Park, CA 90621-1687

Mailing address

74 Sycamore LN
Buena Park, CA 90621-1687
Phone (213) 842-3566

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19823CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Seol Acupuncture Group, Inc Acupuncturist CurrentSince Feb 1, 2024 Accepting new patients
Acuprogroup Inc Acupuncturist Past Accepting new patients

Locations

680 Langsdorf Dr
Ste 210
Fullerton, CA 92831
Phone (657) 233-1221

1435 W Beverly Blvd
Montebello, CA 90640
Phone (323) 887-7575

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1467133470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SYCAMORE LN",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211687",
            "telephone_number": "213-842-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SYCAMORE LN",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211687",
            "telephone_number": "213-842-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SAEUN",
        "credential": "DACM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.