Jack Jaeyoung Song

  • NPI 1538342043
According to our database, the NPI number for Jack Jaeyoung Song is 1538342043 and activated since 16 years ago. Jack Jaeyoung Song is an individual provider who specializes in Family Medicine, and the primary practice location is 2500 Alhambra Ave, Martinez, CA 94553. You can also contact Jack Jaeyoung Song via telephone number is (925) 370-5110. Provider NPI information was last updated on 08/26/2019.

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Overview of Jack Jaeyoung Song

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/07/2007
  • Last updated: 08/26/2019

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: A85362
  • License State: CA

Provider Mailing Address

  • Address: 1515 Newell Ave
    Walnut Creek, CA 94596
  • Phone: 925-295-4000
  • Fax:

Provider Practice Location

  • Address: 2500 Alhambra Ave
    Martinez, CA 94553
  • Phone: 925-370-5110
  • Fax: 925-370-5142

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: A85362
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack Jaeyoung Song?
  • A: The npi number for Jack Jaeyoung Song is 1538342043.
  • Q: What are Jack Jaeyoung Song's specialties?
  • A: Jack Jaeyoung Song's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jack Jaeyoung Song?
  • A: The medical license number for Jack Jaeyoung Song is A85362 and issued in CA in USA.
  • Q: Where is Jack Jaeyoung Song practice location?
  • A: Jack Jaeyoung Song is practicing at 2500 Alhambra Ave, Martinez, CA 94553.
  • Q: How to contact Jack Jaeyoung Song?
  • A: You can contact Jack Jaeyoung Song via 925-370-5110.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.