Mark Song Md Phd Inc in Fullerton - Nephrology

Mark Song Md Phd Inc - NPI 1205922531

Mark Song Md Phd Inc is a Nephrology in Fullerton, California. Mark Song Md Phd Inc practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Mark Song Md Phd Inc is 1205922531. The last update date is 2011-12-14.

Mark Song Md Phd Inc's current location address is 1401 S Brookhurst Rd, Fullerton, California. You can contact this provider via phone number 7146260700 and fax number 7146260800. The mailing address for Mark Song Md Phd Inc is 1401 S Brookhurst Rd, Fullerton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark Song Md Phd Inc
Address 1401 S Brookhurst Rd, Fullerton, California
Phone Number 7146260700
Fax Number 7146260800
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Song Myungjae Mark
Credentials M.D., PH.D
Telephone Number 7146260700

NPI Number Detail

NPI Number 1205922531
Provider Enumeration Date 2006-10-05
Last Updated Date 2011-12-14

Provider Mailing Address Detail

Address 1401 S Brookhurst Rd
City Fullerton
State California (CA)
Post Code 928334471
Phone Number 7146260700
Fax Number 7146260800

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No A49785
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A497850 CA --

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FAQs about Mark Song Md Phd Inc

What is the unique identification code assigned to Mark Song Md Phd Inc by the Centers for Medicare & Medicaid Services?

The Mark Song Md Phd Inc has been issued the NPI (National Provider Identifier) 1205922531. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark Song Md Phd Inc is geographically located?

The Mark Song Md Phd Inc is physically situated at the following location: 1401 S Brookhurst Rd, Fullerton, CA, 928334471.

What is Mark Song Md Phd Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark Song Md Phd Inc's specialized field of practice is Nephrology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rn0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205922531 to Mark Song Md Phd Inc?

The Centers for Medicare & Medicaid Services assigned the 1205922531 to Mark Song Md Phd Inc on 2006-10-05.

When was the Mark Song Md Phd Inc's information last updated?

The Mark Song Md Phd Inc's information was last updated on 2011-12-14.

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