| 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 |