| Mark M. Song, M.d., Inc. | |
|
1401 S Brookhurst Rd Ste 115 Fullerton CA 92833-4492 | |
| (714) 626-0700 | |
| (714) 626-0800 |
| Full Name | Mark M. Song, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 1401 S Brookhurst Rd Ste 115, Fullerton, California |
| Authorized Official Name and Position | Mark Myungjae Song (PRESIDENT) |
| Authorized Official Contact | 7146260700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark M. Song, M.d., Inc. 1401 S Brookhurst Rd Ste 115 Fullerton CA 92833-4492 Ph: (714) 626-0700 | Mark M. Song, M.d., Inc. 1401 S Brookhurst Rd Ste 115 Fullerton CA 92833-4492 Ph: (714) 626-0700 |
| NPI Number | 1467892745 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467892745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | A49785 (California) | Primary |
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