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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GRACE EUN-KYENG SONG MD
NPI 1649266826
Family Medicine in Banning, CA

Active since September 23, 2005
11555 1/2 POTRERO RD, BANNING, CA 92220(951) 849-4761(951) 922-8436 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace Eun-kyeng Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRACE EUN-KYENG SONG MD (NPI 1649266826) is an individual family medicine provider in Banning, California, licensed in California (A73137) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1649266826
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GRACE EUN-KYENG SONGCredential: MD
Location Address11555 1/2 POTRERO RDBanning, CA 92220-6946
Mailing Address11555 1/2 Potrero RdBanning, CA 92220-6946 · (951) 849-4761 · Fax (951) 922-8436
Phone(951) 849-4761
Fax(951) 922-8436
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1649266826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A73137
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11555 1/2 POTRERO RD, Banning, CA 92220
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Other Names 1

Other Name (5)Grace Eun-kyeng Jih

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MERCER PSYD, DRPH
Psychologist (Health Service)
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
DR. MANUEL I SALMERON MD
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (800) 732-8805
ELENA VIRGINIA WEAVER
Driver
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
CHAD E STOCKERT O.D.
Optometrist
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (909) 849-4761
JULIE ANN ANDREWS LCSW
Social Worker (Clinical)
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
MS. SANDRA H CONLEY R.N.
Registered Nurse
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
DR. KAREN J DAVIS MD
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761

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 Grace Song's NPI number?

The NPI number for Grace Song is 1649266826. It was assigned to this individual provider in the NPPES registry on September 23, 2005. The provider is also known as Grace Eun-Kyeng Jih.

Where is Grace Song located?

Grace Song practices at 11555 1/2 Potrero Rd, Banning, CA 92220. The listed phone number is (951) 849-4761.

What is Grace Song's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Grace Song was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.