SearchArizona213E00000X

Jaeha Song, DPM

NPI 1700292877 · on the registry since 2014 · sole proprietor

Practice

Address
3570 S Val Vista Dr Ste 104
Gilbert, AZ 85297
Phone
(480) 900-9343
Fax
(480) 400-9229
Organisation at this address
Neuragenex Llc
Az Chiropractic
Smi Imaging Llc
Val Vista Pharmacy
Resolve Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
213E00000X
213E00000X
Also registered as
213ES0103X
213E00000X
282N00000X
Licence states on file
AZ, PA, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona