Organization
CHARLESTON CHUA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLESTON CHUA MD (CEO)
(702) 460-6009
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 103, SAN DIEGO, CA 92121-3022
(702) 460-6009
(619) 330-8826
Mailing address
4510 EXECUTIVE DR STE 103, SAN DIEGO, CA 92121-3022
(702) 460-6009
(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
05/03/2024
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