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

Individual provider Nephrology Physician · NPI 1326068560

Mark Myungjae Song, MD, PHD is an Internal Medicine in Los Angeles, California. Qualified in 1984, 42 years ago. Offers telehealth. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3663 W 6th St Ste 307
Los Angeles, CA 90020-3050
Phone: (213) 736-1884
Fax: (714) 626-0800
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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 number1326068560
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESDecember 1, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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