Organization
CHARLESTON CHUA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLESTON MIRADOR CHUA MD (OWNER)
(858) 699-0707
Entity
Organization
Contact information
Practice address
8200 LA MESA BLVD, LA MESA, CA 91942-9216
(858) 699-0707
(619) 330-8826
Mailing address
8200 LA MESA BLVD, LA MESA, CA 91942-9216
(858) 699-0707
(619) 330-8826
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/12/2026
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