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DIVINO PLASTIC SURGERY INC. NPI 1629275946


NPI Information

NPI: 1629275946
Provider Name: DIVINO PLASTIC SURGERY, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
180 OTAY LAKES RD
SUITE #110
BONITA, CA
ZIP 91902
Phone: (858) 633-7546
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DIVINO PLASTIC SURGERY, INC. is a surgery in Bonita, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DIVINO PLASTIC SURGERY, INC. NPI is 1629275946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 OTAY LAKES RD
SUITE #110
BONITA, CA
ZIP 91902-443
Phone: (858) 633-7546

The provider's authorized official is Carlos Chacon .
The authorized official title is President and has the following contact phone number (858) 633-7546.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 8/5/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryA98477CALIFORNIAYes

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: 4/28/2024

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