Orange County Plastic Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORANGE COUNTY PLASTIC SURGERY CENTER, LLC

Practice address

4968 Booth Cir
Suite 103
Irvine, CA 92604-3360

Phone

(949) 701-4454

Fax

(949) 701-4878

NPI assigned

May 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kyle Song, MD

Title

Owner

Phone

(949) 701-4454

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1982082020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIR",
            "address_2": "SUITE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043360",
            "telephone_number": "949-701-4454",
            "fax_number": "949-701-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIR",
            "address_2": "SUITE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043360",
            "telephone_number": "949-701-4454",
            "fax_number": "949-701-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PLASTIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-701-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Fire Authority
• Orange County Health & Psychology Associates
• Orange County Health Psychologists, Inc.
• Orange County Homecare LLC
• Orange County Migraine & Headache Center
• Orange County Psychiatry and Addiction Medicine
• Orange County Regional Pet Center-Irvine LLC
• Orange County Support Services Corporation
• Orange County Surgical Center
• Orange County Urology Associates Inc. a Medical Group

• All providers in Irvine, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.