Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Specialty Medical Center, Inc

Organization Nephrology Physician · NPI 1104933183

Specialty Medical Center, Inc provides Nephrology Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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