Mark Myungjae Song in Fullerton - Nephrology
Mark Myungjae Song - NPI 1326068560
Mark Myungjae Song is a Nephrology in Fullerton, California. Mark Myungjae Song practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Mark Myungjae Song is 1326068560. The last update date is 2011-12-01.
Mark Myungjae Song's current location address is 1401 S Brookhurst Rd Ste 100, Fullerton, California. You can contact this provider via phone number 7146260700 and fax number 7146260800. The mailing address for Mark Myungjae Song is 1401 S Brookhurst Rd Ste 100, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Myungjae Song |
|---|---|
| Address | 1401 S Brookhurst Rd Ste 100, Fullerton, California |
| Phone Number | 7146260700 |
| Fax Number | 7146260800 |
| Sole Proprietor | N |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1326068560 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 1401 S Brookhurst Rd Ste 100 |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928334492 |
| Phone Number | 7146260700 |
| Fax Number | 7146260800 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A49785 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A497850 | CA | -- |
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What is the Mark Myungjae Song's 1326068560?
The Mark Myungjae Song's NPI (National Provider Identifier) Number is 1326068560. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Myungjae Song located?
The Mark Myungjae Song is located at 1401 S Brookhurst Rd Ste 100, Fullerton, CA 928334492.
What is the area of specialization for Mark Myungjae Song, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Myungjae Song is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326068560 to Mark Myungjae Song?
The Centers for Medicare & Medicaid Services assigned the 1326068560 to Mark Myungjae Song on 2006-07-20.
When was the information regarding Mark Myungjae Song, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Myungjae Song, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-01.
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