Min-an Song

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

23410 Issued in CA

Practice address

217 W Cerritos Ave
Anaheim, CA 92805-6549

Phone

(714) 776-1231

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1730586488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056549",
            "telephone_number": "714-776-1231",
            "fax_number": "714-776-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W CERRITOS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056549",
            "telephone_number": "714-776-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Morro Way Apt 14",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919422167",
            "country_code": "US",
            "telephone_number": "281-948-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "MIN-AN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Dongsoo Son, MD
• Seok Hwan Son, DDS
• Adrian Song
• Hyo Song, ACUPUNTURIST
• Jonathan Song, D.D.S.
• Minhee Song, PT
• Seon Yool Song
• Silvia Song, MD
• Taylor Lauren Song
• Zhigang Song, M.D., PH.D.

• Speech-Language Pathologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.