Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Eunyoung Song, DO

Individual provider Pediatrics Physician · NPI 1255080339

Candice Eunyoung Song, DO is a Pediatric Medicine in Virginia Beach, Virginia. Qualified in 2022, 4 years ago. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1950 Glenn Mitchell Dr Ste 310
Virginia Beach, VA 23456-0019
Phone: (757) 507-0255
Fax: (757) 507-0256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0102209370 (VA)

Record details

NPI number1255080339
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address601 Childrens Ln, Norfolk, VA 23507-1910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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