Ming Ju Song, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11966 Issued in CA

Practice address

214 De Anza Blvd
San Mateo, CA 94402-3913

Phone

(408) 582-2588

NPI assigned

Nov 9, 2007

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1548440373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1882",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950151882",
            "telephone_number": "408-582-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 DE ANZA BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023913",
            "telephone_number": "408-582-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "MING JU",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Guadalupe Solorzano
• Sophia Solorzano
• Linda Connie Solt
• Sonder Speech-Language Pathology, Inc.
• Eunice Kim Song, PSY.D.
• Myly Song
• Sonitus Medical Inc.
• Michelle Sonnenschein, MFT
• Sonrisas Dental Health, Inc (Sonrisas Dental Health)
• Sonrisas Dental Health, Inc. (Apple Tree Dental, San Mateo Center)

• Acupuncturist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.