Organization
J YOUNG MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG EUN SONG NURSE PRACTITIONER (PROVIDER)
(949) 409-5376
Entity
Organization
Contact information
Practice address
6131 ORANGETHORPE AVE, BUENA PARK, CA 90620-1315
(949) 409-5376
Mailing address
6131 ORANGETHORPE AVE, BUENA PARK, CA 90620-1315
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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