Individual provider · Type 1 NPI

Jaeha Song, DPM

Podiatrist · Gilbert, AZ

NPI number 1700292877 Active

Practice location

3570 S Val Vista Dr Ste 104
Gilbert, AZ 85297-7327

Fax (480) 400-9229

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XPOD-000896 (AZ)
Podiatrist 213E00000XSC006500 (PA)
General Acute Care Hospital 282N00000X65P97423 (NY)
Podiatrist Primary 213E00000XPOD-000896 (AZ)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2 other providers at this address

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About NPI 1700292877

Jaeha Song, DPM's National Provider Identifier is 1700292877, issued on Jul 9, 2014. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Gilbert, AZ. The record was last updated on Jun 24, 2026.