NA YOUNG SONG, D.O., A PROFESSIONAL CORPORATION
NPI 1104634963
Clinic/Center in Los Angeles, CA
About Na Young Song, D.o., A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NA YOUNG SONG, D.O., A PROFESSIONAL CORPORATION (NPI 1104634963) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since December 2024. The organization lists Na Young Song, Ceo, Cfo, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Na Young Song, D.o., A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Na Young Song, D.O., A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Na Young Song, D.O., A Professional Corporation's NPI number?
The NPI number for Na Young Song, D.O., A Professional Corporation is 1104634963. It was assigned to this organization in the NPPES registry on December 26, 2024.
Where is Na Young Song, D.O., A Professional Corporation located?
Na Young Song, D.O., A Professional Corporation is located at 2001 S Barrington Ave Ste 111, Los Angeles, CA 90025. The listed phone number is (424) 625-8897.
What is Na Young Song, D.O., A Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Na Young Song, D.O., A Professional Corporation enrolled in Medicare?
Yes. Na Young Song, D.O., A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Na Young Song, D.O., A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Osteopathic Manipulative Medicine) reassigns their Medicare billing to Na Young Song, D.O., A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Na Young Song, D.O., A Professional Corporation was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Na Young Song, D.o., A Professional Corporation · NPI 1104634963
Clinic/Center organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 26, 2024.
## Identity
- **NPI:** 1104634963 (Entity type: Organization)
- **Enumerated:** December 26, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Na Young Song, CEO, CFO, SECRETARY
## Practice location
- **Address:** 2001 S BARRINGTON AVE STE 111, Los Angeles, CA 90025-5337
- **Phone:** (424) 625-8897
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Osteopathic Manipulative Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104634963) · Data from the CMS NPPES public registry.