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. |
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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 |
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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 |
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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 |
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015 | |