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CHARLESTON CHUA MD INC NPI 1033966346


NPI Information

NPI: 1033966346
Provider Name: CHARLESTON CHUA MD INC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
4510 EXECUTIVE DR STE 103
SAN DIEGO, CA
ZIP 92121
Phone: (702) 460-6009
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CHARLESTON CHUA MD INC is a plastic and reconstructive surgery surgery in San Diego, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. CHARLESTON CHUA MD INC NPI is 1033966346. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4510 EXECUTIVE DR STE 103
SAN DIEGO, CA
ZIP 92121-022
Phone: (702) 460-6009
Fax: (619) 330-8826

The provider's authorized official is Charleston Chua .
The authorized official title is Ceo and has the following contact phone number (702) 460-6009.

The enumeration date for this NPI number is 5/3/2024 and was last updated on 5/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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