Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Heavenly Plastic Surgery, PC

Plastic and Reconstructive Surgery Physician in Lake Forest, CA · enumerated 2018 · authorized official David Nguyen, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639651011

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Registry record

Entity type Organization (Type 2)

Legal business name Heavenly Plastic Surgery, PC

Practice address 29300 Portola Pkwy, Lake Forest, CA, 92630

Phone (657) 333-5497

Enumeration date Sep 3, 2018

Last updated in NPPES Sep 3, 2018

Taxonomy & classification

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Nguyen

Title Ceo

Phone (310) 980-3715

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-03. Verify at npiregistry.cms.hhs.gov.

Where is Heavenly Plastic Surgery, PC located?

The practice location on file with NPPES is in Lake Forest, CA.

Providers at this address

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Richard Moy Foot & Ankle Surgery Podiatrist · Lake Forest, CA NPI 1700831971 Foothill Surgical Institute, LLC Ambulatory Surgical Clinic/Center · Lake Forest, CA NPI 1104985910 Portola Anesthesia Services LLC Medical Specialty Clinic/Center · Lake Forest, CA NPI 1700103223

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-03.