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

Jung Gun Song, OTR/L

Individual provider Occupational Therapist · NPI 1801778519

Jung Gun Song, OTR/L is an Occupational Therapist in Private Practice in Rowland Heights, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

18255 La Guardia St
Rowland Heights, CA 91748-4422
Phone: (818) 296-9153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 20031 (CA)

Record details

NPI number1801778519
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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