NPI | 1205922531 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK MYUNGJAE SONG Physician Sole Owner 714-626-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A49785) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2011-12-14 |