Song, Mark E
Song, Mark E is an individual health care provider with primary practice located at 101 E Valencia Mesa Dr Em Dept, Fullerton CA 92835-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Song, Mark E can be contacted via phone (714) 992-3965.Contact Information
Primary practice address
101 E Valencia Mesa Dr Em Dept
Fullerton CA 92835-3809
Phone: (714) 992-3965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G34440 | California |
Profile Details
| NPI number | 1497865281 |
|---|---|
| LBN Legal business name | Song, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 11th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497865281 | NPPES |
| California | MEDICAID | 00G344400 |
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