Jin Ki Song, is a
Case Manager/care Coordinator based in San Jose, California. Jin Ki Song is licensed to practice in * (Not Available) (license number ) and his current practice location is
1400 Parkmoor Ave Ste 210, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 961-9833.
NPI number for Jin Ki Song is 1962026260 and his current mailing address is 1400 Parkmoor Ave Ste 210, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962026260.
Healthcare Provider's Profile
| Full Name | Jin Ki Song |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1400 Parkmoor Ave Ste 210, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962026260
- Provider Enumeration Date: 06/02/2020
- Last Update Date: 06/02/2020
Medical Identifiers
Medical identifiers for Jin Ki Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962026260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jin Ki Song is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jin Ki Song,
1400 Parkmoor Ave Ste 210,
San Jose, CA 95126-3798
Ph: () - | Jin Ki Song,
1400 Parkmoor Ave Ste 210,
San Jose, CA 95126-3798
Ph: (408) 961-9833 |
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