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

Mr. Simon Ki Song, DOM

Individual provider Acupuncturist · NPI 1770662181

Mr. Simon Ki Song, DOM is an Acupuncturist in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2601 N Del Rosa Ave Ste 111
San Bernardino, CA 92404
Phone: (909) 474-9108
Fax: (310) 376-8788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 7495 (CA)
Acupuncturist Taxonomy 171100000X · Licence AC 7495 (CA)

Record details

NPI number1770662181
Entity typeIndividual (Type 1)
GenderMale
Credentials DOM
Sole proprietorYes
NPI enumeratedNovember 4, 2006
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019

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