Mark M. Song M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MARK M. SONG M.D., INC.

Practice address

11920 Garvey Ave
El Monte, CA 91732-3514

Phone

(626) 448-7575

Fax

(626) 448-8831

NPI assigned

Jul 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Myungjae Song, M.D.NPI 1326068560

Title

President

Phone

(714) 626-0700

Specialties & licenses 2

Addresses

Tax ID family

Mark M Song MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark M. Song, M.D., Inc.

  • Nephrology Physician
  • Fullerton, CA
  • NPI 1467892745
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Myungjae Song, MD, PHD

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1326068560
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1972944684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD",
            "address_2": "STE 115",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334471",
            "telephone_number": "714-626-0700",
            "fax_number": "714-626-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-448-7575",
            "fax_number": "626-448-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M. SONG M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MYUNGJAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-626-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Malana, MSW
• Meredith Malata
• Angelica Ariana Maldonado, MPAS, PA-C
• Mark Malit, O.D.
• Lori Elizabeth Manning
• Jonathan Marques, ATC
• Annete Marquez, LVN
• Eugene Jaso Marquez, BS
• Maria Elena Marquez
• Norma Marquez

• Nephrology Physician in El Monte, CA
• Providers in El Monte, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.