# ORANGE COUNTY PLASTIC SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982082020
- **Authorized official:** DR. KYLE SONG MD (OWNER)
- **Authorized official phone:** (949) 701-4454

## Contact information

- **Practice address:** 4968 BOOTH CIR, SUITE 103, IRVINE, CA 92604-3360
- **Practice address phone:** (949) 701-4454
- **Practice address fax:** (949) 701-4878
- **Mailing address:** 4968 BOOTH CIR, SUITE 103, IRVINE, CA 92604-3360
- **Mailing address phone:** (949) 701-4454
- **Mailing address fax:** (949) 701-4878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2015
- **Last updated:** 05/08/2015