Dr Charleston Chua, MD | |
4510 Executive Dr Ste 103, San Diego, CA 92121-3022 | |
(702) 460-6009 | |
(619) 330-8826 |
Full Name | Dr Charleston Chua |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 4510 Executive Dr Ste 103, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881937449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 21272 (Nevada) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | A146435 (California) | Primary |
Entity Name | Emergency And Acute Care Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | James J Chao Md Facs |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861746703 PECOS PAC ID: 8527285642 Enrollment ID: O20141106002600 |
Entity Name | Health Allies Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710652243 PECOS PAC ID: 8527458389 Enrollment ID: O20211209001845 |
Entity Name | Charleston Chua Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033966346 PECOS PAC ID: 7113469461 Enrollment ID: O20240603001320 |
Mailing Address | Practice Location Address |
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Dr Charleston Chua, MD 4510 Executive Dr Ste 103, San Diego, CA 92121-3022 Ph: (702) 460-6009 | Dr Charleston Chua, MD 4510 Executive Dr Ste 103, San Diego, CA 92121-3022 Ph: (702) 460-6009 |
Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032 | |
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746 | |
Mathias John Kill, MD Surgery Medicare: Medicare Enrolled Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673 | |
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801 | |
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360 | |
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192 |