Song, Jaeha

Song, Jaeha is an sole proprietor health care provider with primary practice located at 3570 S Val Vista Dr Ste 104 , Gilbert AZ 85297-7327. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Hospitals / General Acute Care Hospital. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Song, Jaeha can be contacted via phone (480) 900-9343.

Contact Information

Primary practice address
3570 S Val Vista Dr Ste 104 Gilbert AZ 85297-7327
Phone: (480) 900-9343
Fax: (480) 400-9229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-000896 Arizona
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC006500 Pennsylvania
Hospitals / General Acute Care Hospital 282N00000X 65P97423 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD-000896 Arizona

Profile Details

NPI number 1700292877
LBN Legal business name Song, Jaeha
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Jun 24th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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