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

Jinwoo Song

Individual provider Athletic Trainer · NPI 1225882616

Jinwoo Song is an Athletic Trainer in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1401 S Brookhurst Rd Ste 113
Fullerton, CA 92833-4492
Phone: (213) 760-6459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000037323 (CA)

Record details

NPI number1225882616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2024
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

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