Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heavenly Plastic Surgery, PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1639651011

Heavenly Plastic Surgery, PC is a Plastic and Reconstructive Surgery Physician in Lake Forest, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29300 Portola Pkwy
Lake Forest, CA 92630-8718
Phone: (657) 333-5497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1639651011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Nguyen — Ceo · (310) 980-3715
NPI enumeratedSeptember 3, 2018
Last updated in NPPESSeptember 3, 2018
Mailing address29300 Portola Pkwy, Lake Forest, CA 92630-8718

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