MR. SIMON KI SONG D.O.M.
NPI 1770662181
Acupuncturist in San Bernardino, CA

Q: What is Simon Song's NPI number?

The NPI number for Simon Song is 1770662181. It was assigned to this individual provider in the NPPES registry on November 4, 2006. The provider is also known as Mr. Ki Soo Song D.O.M..

Q: What is Simon Song's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Simon Song was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since November 04, 2006

2601 N. DEL ROSA AVE., SUITE 111, SAN BERNARDINO, CA 92404(909) 474-9108(310) 376-8788 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Simon Ki Song D.o.m. NPPES

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

MR. SIMON KI SONG D.O.M. (NPI 1770662181) is an individual acupuncturist in San Bernardino, California, licensed in California (7495) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1770662181

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameMR. SIMON KI SONGCredential: D.O.M.

Location Address2601 N. DEL ROSA AVE., SUITE 111San Bernardino, CA 92404

Mailing Address2601 N. Del Rosa Ave., Suite 111San Bernardino, CA 92404 · (909) 474-9108 · Fax (310) 976-8788

Phone(909) 474-9108

Fax(310) 376-8788

Sole ProprietorYes

Enumeration DateNovember 4, 2006

Last NPPES UpdateDecember 23, 2019

✔ NPI 1770662181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

Licenses✔ Licensed in CA · 7495✔ Licensed in CA · AC 7495

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

2601 N. DEL ROSA AVE., San Bernardino, CA 92404

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Other Names 1

Former Name (1)Mr. Ki Soo Song D.o.m.

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 Simon Song's NPI number?

The NPI number for Simon Song is 1770662181. It was assigned to this individual provider in the NPPES registry on November 4, 2006. The provider is also known as Mr. Ki Soo Song D.O.M..

Where is Simon Song located?

Simon Song practices at 2601 N. Del Rosa Ave. Suite 111, San Bernardino, CA 92404. The listed phone number is (909) 474-9108.

What is Simon Song's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Simon Song was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.