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Organization
ORANGE COUNTY PLASTIC SURGERY CENTER, LLC
Active
Organization
ORANGE COUNTY PLASTIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE SONG MD (OWNER)
(949) 701-4454
Entity
Organization
Contact information
Practice address
4968 BOOTH CIR, SUITE 103, IRVINE, CA 92604-3360
(949) 701-4454
(949) 701-4878
Mailing address
4968 BOOTH CIR, SUITE 103, IRVINE, CA 92604-3360
(949) 701-4454
(949) 701-4878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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