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Specialty Medical Center, Inc

Nephrology Physician in Fullerton, CA · enumerated 2006 · authorized official Mark Song, Physician/Sole Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104933183

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Registry record

Entity type Organization (Type 2)
Legal business name Specialty Medical Center, Inc
Practice address 1401 S Brookhurst Rd, Suit 100, Fullerton, CA, 92833
Fax (714) 626-0800
Enumeration date Aug 24, 2006
Last updated in NPPES Jan 14, 2011

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License A49785 (CA) Primary

Authorized official

Name Mark Song
Title Physician/Sole Owner

Other identifiers

Identifier Type State Issuer
00A497850 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Specialty Medical Center, Inc?
NPPES lists Mark Song (Physician/Sole Owner) as the authorized official for this organization.
What is the NPI number for Specialty Medical Center, Inc?
The NPI for Specialty Medical Center, Inc is 1104933183, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-14.