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1326068560
MARK MYUNGJAE SONG
LOS ANGELES, CA
NPI
1326068560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA A49785)
Enumeration Date
2006-07-20
Last Update Date
2011-12-01
Business Address
-- MARK MYUNGJAE SONG MD, PhD
3663 W 6TH ST STE 307
LOS ANGELES, CA 90020-3050
Phone number: 213-736-1884
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Mailing Address
-- MARK MYUNGJAE SONG MD, PhD
1401 S BROOKHURST RD STE 100
FULLERTON, CA 92833-4492
Phone number: 714-626-0700
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