Individual
DR. KYLE ROBERT SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4968 BOOTH CIR, SUITE 105, IRVINE, CA 92604-3360
(949) 701-4454
(949) 701-4878
Mailing address
4968 BOOTH CIR, SUITE 105, IRVINE, CA 92604-3360
(949) 701-4454
(949) 701-4878
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A102406
CA
Other
Enumeration date
02/05/2008
Last updated
04/08/2015
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