DR. MARK HANWOOK SONG (NPI# 1629231378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629231378 |
| Entity Type | Individual |
| Full Name | DR. MARK HANWOOK SONG |
| Credential | M.D. |
| Practice Address |
15446 S Western Ave Gardena CA 90249-4319 |
| Practice Telephone | 8007801230 |
| Mailing Telephone | 8007801230 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A110606 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345659 | Mark Song | Physician Assistant | 2650 Ridge Ave, Burch 221, Evanston, IL 60201 | 2019-03-19 |
| 1497865281 | Mark E Song | Emergency Medicine | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2006-08-30 |
| 1326068560 | Mark Myungjae Song | Internal Medicine | 3663 W 6th St Ste 307, Los Angeles, CA 90020-3050 | 2006-07-20 |
| 1346227246 | Mark Song | Surgery | 339 Hicks St, Division of Vascular Surgery, Brooklyn, NY 11201-5509 | 2005-12-30 |
| Street Address |
15446 S WESTERN AVE |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920756 | Patrick J Lemm | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2006-06-14 |
| 1235678350 | Noriko Lee | Pharmacist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2017-02-22 |
| 1972042430 | Sara Hwang | Pharmacist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2017-02-16 |
| 1316486871 | Emily Nguyen | Pharmacist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2017-02-16 |
| 1649644733 | Christina Chen | Physical Therapist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2015-11-30 |
| 1962806042 | Gina Hu Wong | Physical Therapist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2014-10-17 |
| 1194131615 | Freyman Manuel Recinos | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2014-07-03 |
| 1720422470 | Raven Bilan Copeland | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2013-04-24 |
| 1265663611 | Keila Jenae Trimble-cox | Pediatrics | 15446 S Western Ave, Gardena, CA 90249-4319 | 2009-08-03 |
| 1386844637 | Courtney Whittle | Social Worker | 15446 S Western Ave, Gardena, CA 90249-4319 | 2007-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717218 | Shaunte E Anderson | Family Medicine | 1025 W 190th St Ste 450, Gardena, CA 90248-4339 | 2019-12-14 |
| 1811497035 | Peyman Banooni Medical Group, Inc | Family Medicine | 1030 Gardena Blvd, Gardena, CA 90247-4956 | 2018-02-14 |
| 1417192063 | Uche Austine Chukwudi | Family Medicine | 15425 Crenshaw Blvd, Gardena, CA 90249-4523 | 2008-12-11 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| 1831397728 | Felix Uzimwonyi Igbinosa | Family Medicine | 13910 Emerald Ln, Gardena, CA 90247-2497 | 2007-07-03 |
| 1659581932 | Community Family Care Ipa | Family Medicine | 19210 S Vermont Ave Ste 400, Gardena, CA 90248-4431 | 2007-05-23 |
| 1134295132 | Alfonso M Baez | Family Medicine | 14127 South Vermont Avenue, Gardena, CA 90247-2005 | 2006-11-28 |
| 1124042882 | Gholam Reza Hosseinian | Family Medicine | 1030 W Gardena Blvd, Gardena, CA 90247-4956 | 2006-07-27 |
| 1710920756 | Patrick J Lemm | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2006-06-14 |
| 1861446841 | Manoutcher Khalili | Family Medicine | 1146 W Redondo Beach Blvd, Gardena, CA 90247-3538 | 2006-05-22 |
| Find all providers in GARDENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.