Plastic SurgeryIndex

Kyle Song, MD

Plastic surgery clinician in Irvine, CA

Registered providerLicense # listed (CA)

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Public-record details

Address
4968 Booth Cir, Suite 105, Irvine, CA 92604
Phone
(949) 701-4454
Listed under
Individual clinicians
NPI
1366620007
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
Credentials listed
MD
License number on NPI record
A102406 (CA)
NPI first issued
Feb 5, 2008
NPI record last updated
Apr 8, 2015

NPI 1366620007 is active in the federal NPPES registry (CMS); license A102406 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1366620007 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

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