| Young Eun Song, | |
|
1120 W La Veta Ave Ste 300, Orange, CA 92868-4246 | |
| (714) 598-1745 | |
| (714) 941-9539 |
| Full Name | Young Eun Song |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1120 W La Veta Ave Ste 300, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700358116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 95010329 (California) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | NP95010329 (California) | Secondary |
| Entity Name | Spine And Sports Specialities Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013306174 PECOS PAC ID: 6507177367 Enrollment ID: O20150619001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Young Eun Song, 2101 Crescent Oak, Irvine, CA 92618-4019 Ph: () - | Young Eun Song, 1120 W La Veta Ave Ste 300, Orange, CA 92868-4246 Ph: (714) 598-1745 |
Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277 | |
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763 | |
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715 | |
Anna Katrina Cruz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300 | |
Mrs. Theresa A Limlengco, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 438 E Katella Ave Ste 226, Orange, CA 92867 Phone: 760-933-0031 | |
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459 | |
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |