Organization Active NPI

Jason Song Acupuncture & Herbs, Inc.

  • Acupuncturist
  • Reseda, CA
National Provider Identifier
1881933562
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 5702 Issued in CA
Legal business name
JASON SONG ACUPUNCTURE & HERBS, INC.
Practice address
19231 Victory Blvd
Suite 211
Reseda, CA 91335-6308
Phone
(818) 757-1269
Fax
(818) 757-0281
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Jun Song, OMDNPI 1356540371
Title
L.Ac
Phone
(818) 757-1269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 5702 CA Primary

Addresses

Primary practice location

19231 Victory Blvd
Suite 211
Reseda, CA 91335-6308

Mailing address

19231 Victory Blvd
Suite 211
Reseda, CA 91335-6308
Phone (818) 757-1269

National Provider Directory

National Provider Directory

Locations

19231 Victory Blvd
Ste 211
Reseda, CA 91335
Phone (818) 757-1269

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1881933562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 211",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-757-1269",
            "fax_number": "818-757-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 211",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-757-1269",
            "fax_number": "818-757-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SONG ACUPUNCTURE & HERBS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "L.AC",
        "authorized_official_telephone_number": "818-757-1269",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 5702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.