Organization
DIVINE PLASTIC SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CHAOKO HU MD (OWNER)
(626) 449-3200
Entity
Organization
Contact information
Practice address
713 W DUARTE RD, SUITE G-173, ARCADIA, CA 91007-7564
(626) 449-3200
(626) 782-6198
Mailing address
713 W DUARTE RD, SUITE G-173, ARCADIA, CA 91007-7564
(626) 449-3200
(626) 782-6198
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A84577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A84577
CA MEDICAL LICENSE
CA
Enumeration date
08/13/2010
Last updated
08/13/2010
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