Individual provider · Type 1 NPI
Jina Song
Student in an Organized Health Care Education/Training Program · Long Beach, CA
NPI number
1962324772
Active
Practice location
341 E 6th St
Long Beach, CA 90802-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 99345 (CA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Kathleen Michael LowStudent in an Organized Health Care Education/Training Program Long Beach, CA NPI 1003794041
About NPI 1962324772
Jina Song's National Provider Identifier is 1962324772, issued on Jul 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 27, 2026.