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Mark Myungjae Song, MD,PHD
Nephrology Physician in Los Angeles, California
NPI 1326068560

Mark Myungjae Song is a Nephrology Physician based in Fullerton, CA and is specialized in Nephrology. Mark Myungjae Song practices in Los Angeles, CA and has the professional credentials of MD,PHD. The NPI Number for Mark Myungjae Song is 1326068560 and holds a License No. A49785 (California).

The current practice location address for Mark Myungjae Song is 3663 W 6Th St Ste 307, Los Angeles, CA and can be reached out via phone at 213-736-1884 and via fax at 714-626-0800.

Location: 3663 W 6Th St Ste 307, Los Angeles, CA, 92833-4492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326068560
Provider Name
Mark Myungjae Song
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
3663 W 6Th St Ste 307, Los Angeles, CA, 92833-4492
Phone Number
213-736-1884
Fax Number
714-626-0800
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A497850 05 CA
institution
Provider Business Practice Location Address Details
Address
3663 W 6Th St Ste 307
City
Los Angeles
State
California
Zip
90020-3050
Phone Number
213-736-1884
Fax Number
714-626-0800
person
Provider Business Mailing Address Details
Address
3663 W 6Th St Ste 307
City
Los Angeles
State
California
Zip
90020-3050
Phone Number
213-736-1884
Fax Number
714-626-0800
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
A49785 (California)
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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