Organization
MARK M. SONG M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MYUNGJAE SONG M.D. (PRESIDENT)
(714) 626-0700
Entity
Organization
Contact information
Practice address
11920 GARVEY AVE, EL MONTE, CA 91732-3514
(626) 448-7575
(626) 448-8831
Mailing address
1401 S BROOKHURST RD, STE 115, FULLERTON, CA 92833-4471
(714) 626-0700
(714) 626-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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