NPIMap

Organization Active NPI

E.Y. Song Chiropractic, Apc

Doing business as Fullerton Spine & Wellness Center

  • Chiropractor
  • Fullerton, CA
National Provider Identifier
1861734790
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32478 Issued in CA
Legal business name
E.Y. SONG CHIROPRACTIC, APC
Doing business as
Fullerton Spine & Wellness Center
Practice address
1324 W Commonwealth Ave
Fullerton, CA 92833-2724
Phone
(714) 446-0200
Fax
(714) 451-8974
NPI assigned
Mar 18, 2013
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Eun Young Song, DCNPI 1366788648
Title
President
Phone
(714) 446-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32478 CA Primary
Acupuncturist 171100000X AC14892 CA

Addresses

Primary practice location

1324 W Commonwealth Ave
Fullerton, CA 92833-2724

Mailing address

1324 W Commonwealth Ave
Fullerton, CA 92833-2724
Phone (714) 446-0200

Other names 1

  • Fullerton Spine & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

770 Magnolia Ave
Ste 1X
Corona, CA 92879
Phone (951) 339-1123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1861734790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332724",
            "telephone_number": "714-446-0200",
            "fax_number": "714-451-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332724",
            "telephone_number": "714-446-0200",
            "fax_number": "714-451-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.Y. SONG CHIROPRACTIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "EUN YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-446-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32478",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Spine & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.