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Organization
MARK M. SONG, M.D., INC.
Active
Organization
MARK M. SONG, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MYUNGJAE SONG M.D. (PRESIDENT)
(714) 626-0700
Entity
Organization
Contact information
Practice address
1401 S BROOKHURST RD STE 115, FULLERTON, CA 92833-4492
(714) 626-0700
(714) 626-0800
Mailing address
1401 S BROOKHURST RD STE 115, FULLERTON, CA 92833-4492
(714) 626-0700
(714) 626-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
A49785
CA
Other
Enumeration date
07/01/2013
Last updated
07/08/2013
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