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SONG PLASTIC SURGERY, INC.
NPI 1730445313
Surgery - Plastic and Reconstructive Surgery in Irvine, CA

Active since April 08, 2012
4968 BOOTH CIR, SUITE 105, IRVINE, CA 92604(949) 701-4454(949) 701-4878 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Song Plastic Surgery, Inc. NPPES

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

SONG PLASTIC SURGERY, INC. (NPI 1730445313) is a healthcare organization registered as a plastic and reconstructive surgery in Irvine, California and active in the NPI registry since April 2012. The organization lists Kyle Robert Song, Owner / Principal, as its authorized official.

NPPES Registry Identity

NPI1730445313
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSONG PLASTIC SURGERY, INC.
Location Address4968 BOOTH CIR, SUITE 105Irvine, CA 92604-3360
Mailing Address4968 Booth Cir, Suite 105Irvine, CA 92604-3360 · (949) 701-4454 · Fax (949) 701-4878
Phone(949) 701-4454
Fax(949) 701-4878
Organization SubpartNo
Authorized OfficialKyle Robert SongOwner / Principal · (949) 701-4454
Enumeration DateApril 8, 2012
Last NPPES UpdateApril 8, 2015
✔ NPI 1730445313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · A102406
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4968 BOOTH CIR, Irvine, CA 92604
Open in Google Maps ↗

Other Identifiers 2

OtherCK861TCA · Medicare Ptan
OtherGA903AMedicare Ptan

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 6

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

MRS. LUCY DAWN GIN CPNP-PC
Nurse Practitioner
4968 BOOTH CIR
IRVINE, CA 92604
Orange County (949) 387-4900
DR. KYLE ROBERT SONG MD
Plastic Surgery
4968 BOOTH CIR, SUITE 105
IRVINE, CA 92604
Orange County (949) 701-4454
ARIANA POULAKOS N.D.
Naturopath
4968 BOOTH CIR, SUITE 101
IRVINE, CA 92604
Orange County (949) 753-7475
DR. MINDY MICHELE FINFROCK M.D.
Pediatrics
4968 BOOTH CIR
IRVINE, CA 92604
Orange County (949) 387-4900
FELICE L. GERSH, M.D., INC.
Clinic/Center (Multi-Specialty)
4968 BOOTH CIR, 101
IRVINE, CA 92604
Orange County (949) 753-7475
ORANGE COUNTY PLASTIC SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4968 BOOTH CIR, SUITE 103
IRVINE, CA 92604
Orange County (949) 701-4454

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 Song Plastic Surgery, Inc.'s NPI number?

The NPI number for Song Plastic Surgery, Inc. is 1730445313. It was assigned to this organization in the NPPES registry on April 8, 2012.

Where is Song Plastic Surgery, Inc. located?

Song Plastic Surgery, Inc. is located at 4968 Booth Cir Suite 105, Irvine, CA 92604. The listed phone number is (949) 701-4454.

What is Song Plastic Surgery, Inc.'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 Song Plastic Surgery, Inc. was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.