Song, Mark Hanwook

Song, Mark Hanwook is an individual health care provider with primary practice located at 15446 S Western Ave , Gardena CA 90249-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Song, Mark Hanwook can be contacted via phone (800) 780-1230.

Contact Information

Primary practice address
15446 S Western Ave Gardena CA 90249-4319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A110606 California

Profile Details

NPI number 1629231378
LBN Legal business name Song, Mark Hanwook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Dec 6th, 2021 - about 3 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.

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