institution
Song Plastic Surgery, Inc.
Plastic and Reconstructive Surgery Physician in Irvine, California
NPI 1730445313

Song Plastic Surgery, Inc. is a Plastic and Reconstructive Surgery Physician based in Irvine, CA and is specialized in Plastic and Reconstructive Surgery. Song Plastic Surgery, Inc. practices in Irvine, CA. The NPI Number for Song Plastic Surgery, Inc. is 1730445313 and holds a License No. A102406 (California).

The current practice location address for Song Plastic Surgery, Inc. is 4968 Booth Cir, Irvine, CA and can be reached out via phone at 949-701-4454 and via fax at 949-701-4878.

Location: 4968 Booth Cir, Irvine, CA, 92604-3360
institution
Provider Profile Details
NPI Number
1730445313
Provider Name
Song Plastic Surgery, Inc.
Credential
Provider Entity Type
Organization
Address
4968 Booth Cir, Irvine, CA, 92604-3360
Phone Number
949-701-4454
Fax Number
949-701-4878
Provider Enumeration Date
04/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GA903A 01 MEDICARE PTAN
CK861T 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4968 Booth Cir
City
State
Zip
92604-3360
Phone Number
949-701-4454
Fax Number
949-701-4878
person
Provider Business Mailing Address Details
Address
4968 Booth Cir
City
State
Zip
92604-3360
Phone Number
949-701-4454
Fax Number
949-701-4878
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
A102406 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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