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

Individual provider Acupuncturist · NPI 1861724304

Dr. Jaewon Song, AC is an Acupuncturist in Encino, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

17139 Ventura Blvd #100
Encino, CA 91316
Phone: (818) 905-7575
Fax: (818) 905-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC13297 (CA)

Record details

NPI number1861724304
Entity typeIndividual (Type 1)
GenderMale
Credentials AC
Sole proprietorNo
NPI enumeratedFebruary 9, 2010
Last updated in NPPESFebruary 9, 2010

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