Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366620007 Individual Practitioner Male Practitioner

Dr. Kyle Robert Song , MD

Plastic Surgery • Irvine, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Song, MD is a registered healthcare professional specializing in Plastic Surgery in Irvine, CA. Practice services are available at 4968 BOOTH CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4968 Booth Cir
Suite 105

Irvine, CA 926043360

Telephone 9497014454
Fax 9497014878
Associated Practice Facility / Clinic
🏢 Felice L. Gersh, M.d., Inc. Facility NPI 1821121328

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Irvine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Irvine, CA (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA A102406

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1417417445

Doctor of Medicine (M.D.)

NPI 1689162919

Doctor of Medicine (M.D.)

Natalie Srabian , FNP-BC

Nurse Practitioner - Primary Care

NPI 1699698506

Family Nurse Practitioner (Board Certified)

Dr. Ali Qureshi , MD

Plastic Surgery

NPI 1922354281

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2015

Registered at 4968 BOOTH CIR, SUITE 105, IRVINE, CA 926043360 (Tel: 9497014454)

📍
Updated Business Mailing Address April 08, 2015

Registered at 4968 BOOTH CIR, SUITE 105, IRVINE, CA 926043360 (Tel: 9497014454)

👤
Provider Name / Credentials Updated April 08, 2015

Recorded as KYLE SONG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2015

Plastic Surgery (License #A102406 in CA)

🟢
Initial NPI Registration & Enumeration February 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366620007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2008
Last Update: April 08, 2015
Sole Proprietor: No

Mailing Address

4968 Booth Cir, Suite 105

Irvine, CA 926043360

Phone: 9497014454

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.