Jung Gun Song, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20031 Issued in CA

Practice address

18255 La Guardia St
Rowland Heights, CA 91748-4422

Phone

(818) 296-9153

NPI assigned

Jul 23, 2025

Sex

Male

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA, Single Specialty

  Medicare reassignment NPD
• Rehab Alliance

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1316987126

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1801778519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18255 LA GUARDIA ST",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484422",
            "telephone_number": "818-296-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18255 LA GUARDIA ST",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484422",
            "telephone_number": "818-296-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JUNG GUN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Sohn
• Katya Sokol
• Beatriz Solis-Prieto
• Jonathan Soloman
• Crystal Elsa Solt
• Qiji Song
• Jocelyn Soriano Vargas
• Southern California Behavioral Counseling
• Spring Living
• Spring Living Inc

• Occupational Therapist in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.