Yoon Sun Song
Nurse Practitioner in Sunnyvale, CA. Individual provider (NPI-1).
NPI number1508264136
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1508264136
- Entity type
- Individual (NPI-1)
- Name
- Yoon Sun Song
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2014
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95001730 | CA | Yes |
Practice location
301 Old San Francisco RdSunnyvale, CA 94086-6386
Phone 408-730-4360
Mailing address
325 Distel CirLos Altos, CA 94022-1408
Phone 408-730-4360
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