Jin Oh Song, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13609 Issued in CA

Practice address

1080 Alameda de Las Pulgas
Belmont, CA 94002-3508

Phone

(650) 293-1777

NPI assigned

Jan 27, 2012

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jin Healing Acupuncture

  dba Restorative Wellness Acupuncture

  • Acupuncturist
  • Belmont, CA
  • NPI 1194567685
  NPD Authorized official

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1659643351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023508",
            "telephone_number": "650-293-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023508",
            "telephone_number": "650-293-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JIN OH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13609",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENCE",
            "identifier": "13609",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Smyrak, D.D.S.
• Terri Snyder, SPEECH THERAPIST
• Alexa Sockol
• Elizabeth Soda, MD
• Elisa Hae-Jung Song, M.D.
• Sarika Sood, DDS
• Oscar Jovani Soriano
• Gabriel Thomas South
• Spring Speech Therapy, PC
• Christian Stamates

• Acupuncturist in Belmont, CA
• Providers in Belmont, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.