1. Home
  2. Directory
  3. California
  4. Lake Forest
  5. Surgery
  6. NPI Profile

HEAVENLY PLASTIC SURGERY, PC
NPI 1639651011
Surgery - Plastic and Reconstructive Surgery in Lake Forest, CA

Active since September 03, 2018
29300 PORTOLA PKWY, LAKE FOREST, CA 92630(657) 333-5497 Get Directions Write a Review

NPPES record last updated: September 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heavenly Plastic Surgery, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVENLY PLASTIC SURGERY, PC (NPI 1639651011) is a healthcare organization registered as a plastic and reconstructive surgery in Lake Forest, California and active in the NPI registry since September 2018. The organization lists David Nguyen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639651011
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameHEAVENLY PLASTIC SURGERY, PC
Location Address29300 PORTOLA PKWYLake Forest, CA 92630-8718
Mailing Address29300 Portola PkwyLake Forest, CA 92630-8718 · (657) 333-5497
Phone(657) 333-5497
Organization SubpartNo
Authorized OfficialDavid NguyenCeo · (310) 980-3715
Enumeration DateSeptember 3, 2018
✔ NPI 1639651011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
29300 PORTOLA PKWY, Lake Forest, CA 92630
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOOTHILL SURGICAL INSTITUTE, LLC
Clinic/Center (Ambulatory Surgical)
29300 PORTOLA PKWY, SUITE A
LAKE FOREST, CA 92630
Orange County (949) 367-1006
PORTOLA ANESTHESIA SERVICES LLC
Clinic/Center (Medical Specialty)
29300 PORTOLA PKWY, SUITE B
LAKE FOREST, CA 92630
Orange County (949) 837-3338
RICHARD R MOY DPM
Podiatrist (Foot & Ankle Surgery)
29300 PORTOLA PKWY, SUITE B
LAKE FOREST, CA 92630
Orange County (949) 837-3338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heavenly Plastic Surgery, PC's NPI number?

The NPI number for Heavenly Plastic Surgery, PC is 1639651011. It was assigned to this organization in the NPPES registry on September 3, 2018.

Where is Heavenly Plastic Surgery, PC located?

Heavenly Plastic Surgery, PC is located at 29300 Portola Pkwy, Lake Forest, CA 92630. The listed phone number is (657) 333-5497.

What is Heavenly Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Heavenly Plastic Surgery, PC was last updated on September 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.