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Individual

DR. NIKOLAS V. CHUGAY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4210 ATLANTIC AVE, LONG BEACH, CA 90807-2802
(562) 595-8507
(562) 988-9220
Mailing address
4210 ATLANTIC AVE, LONG BEACH, CA 90807-2802
(562) 595-8507
(562) 988-9220

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
20A3830
CA
208200000X
Plastic Surgery Physician
Primary
20A3830
CA

Other

Enumeration date
10/07/2009
Last updated
10/07/2009
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