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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