Song Plastic Surgery, Inc.

LBN: Song Plastic Surgery, Inc.
Song Plastic Surgery, Inc. is an health care organization with primary practice located at 4968 Booth Cir Suite 105, Irvine CA 92604-3360. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Song Plastic Surgery, Inc. can be contacted via phone (949) 701-4454, or through Song, Kyle Robert via phone (949) 701-4454.

Contact Information

Primary practice address
4968 Booth Cir Suite 105 Irvine CA 92604-3360
Phone: (949) 701-4454
Fax: (949) 701-4878
Website:
Map and Directions
Authorized official contact:
Name: Song, Kyle Robert Doctor of Medicine (MD)
Phone: (949) 701-4454

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A102406 California

Profile Details

NPI number 1730445313
LBN Legal business name Song Plastic Surgery, Inc.
DBA Doing business as
Authorized official Song, Kyle Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2012
Last updated Apr 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730445313 NPPES
Other GA903A MEDICARE PTAN
Other CK861T MEDICARE PTAN

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