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
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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