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

Last updated

May 8, 2015By the provider in NPPES

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, MDNPI 1366620007

Title

Owner

Phone

(949) 701-4454

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Robert Song, MD

  • Plastic Surgery Physician
  • Irvine, CA
  • NPI 1366620007
  Authorized official Same address or phone

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 (Salus Homecare)
• Orange County Migraine & Headache Center
• Orange County Psychiatry and Addiction Medicine
• Orange County Regional Pet Center-Irvine LLC (Insight Imaging - O.C. Pet)
• Orange County Support Services Corporation (Home Instead)
• Orange County Surgical Center
• Orange County Urology Associates Inc. a Medical Group

• Ambulatory Surgical Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• 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.