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

Specialty Medical Center, Inc

Organization Nephrology Physician · NPI 1104933183

Specialty Medical Center, Inc is a Nephrology Physician in Fullerton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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 Suit 100
Fullerton, CA 92833
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)

Record details

NPI number1104933183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Song — Physician/Sole Owner · (701) 626-0700
NPI enumeratedAugust 24, 2006
Last updated in NPPESJanuary 14, 2011
Mailing address1401 S Brookhurst Rd, Suit 100, Fullerton, CA 92833

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