Individual
DR. CHARLESTON CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
(916) 734-5633
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
21272
NV
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A146435
CA
Other
Enumeration date
04/02/2013
Last updated
05/03/2024
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