MARK M. SONG M.D., INC. (NPI# 1972944684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972944684 |
| Entity Type | Organization |
| Organization Name | MARK M. SONG M.D., INC. |
| Practice Address |
11920 Garvey Ave El Monte CA 91732-3514 |
| Mailing Address |
1401 S Brookhurst Rd Ste 115 Fullerton CA 92833-4471 |
| Practice Telephone | 6264487575 |
| Practice Fax Number | 6264488831 |
| Mailing Telephone | 7146260700 |
| Mailing Fax Number | 7146260800 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | MARK MYUNGJAE SONG (PRESIDENT) |
| Authorized Official Telephone | 7146260700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
11920 GARVEY AVE |
| City | EL MONTE |
| State | CA |
| Zip Code | 91732-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588905533 | Edwin Choi Md El Monte Inc | Physician Assistant | 11920 Garvey Ave, El Monte, CA 91732-3514 | 2013-03-14 |
| 1407322993 | Dental Corporation of Christine Shahgaldian | Dentist | 11920 Garvey Ave, El Monte, CA 91732-3514 | 2018-10-23 |
| 1265831028 | Centro Medico Practice Inc | Family Medicine | 11920 Garvey Ave, El Monte, CA 91732-3514 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244457 | Gema Ramirez | Nurse Practitioner | 11654 Bryant Road, El Monte, CA 91732 | 2020-10-28 |
| 1689207045 | Sylvia Valdez | Counselor | Healthright360, Inc, El Monte, CA 91732 | 2020-02-13 |
| 1558864819 | Charles Wang Dds, Professional Corporation | Clinic/Center | 4900 Peck Rd, El Monte, CA 91732 | 2018-03-13 |
| 1285153874 | Han Cai | Pharmacist | 11620 Rio Hondo Pkwy, El Monte, CA 91732 | 2017-09-14 |
| 1043605660 | Gary Yang Dds. A Professional Corporation | Dentist | 12015 Garney Ave. #a, El Monte., CA 91732 | 2015-03-31 |
| 1881095651 | Quang Thai | Pharmacist | 3948 N Peck Rd Unit A1-a2, El Monte, CA 91732 | 2014-09-11 |
| 1568705093 | Nancy Macias | Marriage & Family Therapist | 4024 Durfee Ave. Wing D, El Monte, CA 91732 | 2013-04-03 |
| 1598009193 | Josefina Margarita Islas | Rehabilitation Practitioner | 4024 North Durfee Avenue, Wing D, El Monte, CA 91732 | 2012-11-20 |
| 1316267586 | Ling Ma | Pharmacist | 3570 Santa Anita Ave., El Monte, CA 91732 | 2010-06-10 |
| 1316187255 | County of Los Angeles Auditor Controller | Clinic/Center | 4024 North Durfee Rd, El Monte, CA 91732 | 2009-03-05 |
| Find all providers in zip 91732 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.