Dr Kyle Robert Song, MD | |
4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 | |
(949) 701-4454 | |
(949) 701-4878 |
Full Name | Dr Kyle Robert Song |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 4968 Booth Cir, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366620007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | A102406 (California) | Primary |
Entity Name | Song Plastic Surgery, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730445313 PECOS PAC ID: 2567625387 Enrollment ID: O20120515000200 |
Mailing Address | Practice Location Address |
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Dr Kyle Robert Song, MD 4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 Ph: (949) 701-4454 | Dr Kyle Robert Song, MD 4968 Booth Cir, Suite 105, Irvine, CA 92604-3360 Ph: (949) 701-4454 |
Dr. Michael Jay Kamper, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 8 Sandpebble, Irvine, CA 92603 Phone: 949-509-1044 Fax: 949-509-1041 | |
Mark E Krugman, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16300 Sand Canyon Ave #1011, Irvine, CA 92618 Phone: 714-972-1811 Fax: 714-972-0986 | |
Dr. Andrew Donald Smith, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 18 Endeavor Ste 102, Irvine, CA 92618 Phone: 949-653-7000 Fax: 949-453-0553 | |
Dr. Michael J Yoo, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 22 Odyssey, Suite 270a, Irvine, CA 92618 Phone: 949-791-7941 Fax: 888-345-1631 | |
Dr. Ali M Soltani, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6670 Alton Pkwy, Medical Office Building 1, Irvine, CA 92618 Phone: 949-932-5938 Fax: 888-648-8775 | |
Robert Evan Tuchler, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6670 Alton Pkwy, Sand Canyon Medical Office, Suite 4110, Irvine, CA 92618 Phone: 949-932-5126 |