J Young Medical Clinic Inc

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

Legal business name

J YOUNG MEDICAL CLINIC INC

Practice address

6131 Orangethorpe Ave
Buena Park, CA 90620-1315

Phone

(949) 409-5376

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Young Eun Song, NURSE PRACTITIONERNPI 1700358116

Title

Provider

Phone

(949) 409-5376

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Young Eun Song

  • Adult Health Nurse Practitioner
  • Orange, CA
  • NPI 1700358116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1790656734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201315",
            "telephone_number": "949-409-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J YOUNG MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YOUNG EUN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "949-409-5376",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• J Bhaheetharan Dental Corp
• Delores Jackson-Riley, RN
• Surendra V. Jain, MD
• Janice Eunjeong Jang, PHARM. D
• Jihyun Jang
• Gina Karin Jauregui

• Registered Nurse in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.