DR. MARK HANWOOK SONG M.D.
NPI 1629231378
Family Medicine in Gardena, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment

15446 S WESTERN AVE, GARDENA, CA 90249(800) 780-1230 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Mark Hanwook Song M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK HANWOOK SONG M.D. (NPI 1629231378) is an individual family medicine provider in Gardena, California, licensed in California (A110606) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2008).

NPPES Registry Identity

NPI1629231378

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK HANWOOK SONGCredential: M.D.

Location Address15446 S WESTERN AVEGardena, CA 90249-4319

Mailing Address15446 S Western AveGardena, CA 90249-4319 · (800) 780-1230

Phone(800) 780-1230

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2008

Enumeration DateJuly 2, 2008

Last NPPES UpdateDecember 6, 2021

✔ NPI 1629231378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A110606

Definition

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.

15446 S WESTERN AVE, Gardena, CA 90249

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Hanwook Song M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880859263

PECOS Enrollment IDI20120710000558

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.