Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark M. Song, MD, Inc

Organization Family Medicine Physician · NPI 1467892745

Mark M. Song, MD, Inc is a Family Medicine Physician in Fullerton, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 S Brookhurst Rd Ste 115
Fullerton, CA 92833-4492
Phone: (714) 626-0700
Fax: (714) 626-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A49785 (CA)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1467892745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Song — President · (714) 626-0700
NPI enumeratedJuly 1, 2013
Last updated in NPPESJuly 8, 2013
Mailing address1401 S Brookhurst Rd Ste 115, Fullerton, CA 92833-4492

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