Kyle R Song (NPI# 1366620007, PAC ID# 7012055718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1366620007 |
| PAC ID by PECOS | 7012055718 |
| Professional Enrollment ID | I20091118000332 |
| Full Name | Kyle R Song |
| Organization Legal Name | SONG PLASTIC SURGERY, INC. |
| Address |
4968 Booth Cir Suite 105 Irvine CA 92604-3366 |
| Phone Number | 9497014454 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 2567625387 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 4968 Booth Cir, Suite 105, Irvine, CA 92604-3366 | 9497014454 | SONG PLASTIC SURGERY, INC. |
| 4968 Booth Cir, Irvine, CA 92604-3366 | 9497014454 | SONG PLASTIC SURGERY, INC. |
| Organization Legal Name | SONG PLASTIC SURGERY, INC. |
| Physicians | 1 |
| Street Address |
4968 BOOTH CIR SUITE 105 |
| City | IRVINE |
| State | CA |
| Zip | 92604-3366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Lee | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 14330 Culver Dr, Irvine, CA 92604-0303 |
| Steve S Kim | Chiropractic | 14210 Culver Dr, Suite E, Irvine, CA 92604-0310 | |
| Virgil D Holland Jr. | Optometry | 14210 Culver Dr, F, Irvine, CA 92604-0313 | |
| Laszlo Kaveggia | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Duke Nguyen | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Afshin Karimi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 14150 Culver Dr, Irvine, CA 92604-0315 |
| Mark S Vanhouten | Neurology | 14150 Culver Dr, Irvine, CA 92604-0315 | |
| Maryam Rahnemun | Family Medicine | 14150 Culver Dr, Suite 105, Irvine, CA 92604-0322 | |
| Melissa Walls | Physical Therapy | Envision Sport Physical Therapy and Pilates | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0322 |
| Antoine Mourra | Family Medicine | Irvine Family Practice Medical | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0322 |
| Find all physicians in zip 92604 | |||
| City | IRVINE |
| Zip Code | 92604 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | IRVINE + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.