| NPI | 1972944684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MYUNGJAE SONG President 714-626-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |