Divino Plastic Surgery, Inc. in Bonita - Surgery
Divino Plastic Surgery, Inc. - NPI 1629275946
Divino Plastic Surgery, Inc. is a Surgery in Bonita, California. Divino Plastic Surgery, Inc. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Divino Plastic Surgery, Inc. is 1629275946. The last update date is 2013-08-05.
Divino Plastic Surgery, Inc.'s current location address is 180 Otay Lakes Rd, Bonita, California. You can contact this provider via phone number 8586337546. The mailing address for Divino Plastic Surgery, Inc. is 180 Otay Lakes Rd, Bonita, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divino Plastic Surgery, Inc. |
|---|---|
| Address | 180 Otay Lakes Rd, Bonita, California |
| Phone Number | 8586337546 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chacon Carlos |
| Credentials | M.D. |
| Telephone Number | 8586337546 |
NPI Number Detail
| NPI Number | 1629275946 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2013-08-05 |
Provider Mailing Address Detail
| Address | 180 Otay Lakes Rd |
|---|---|
| City | Bonita |
| State | California (CA) |
| Post Code | 919022443 |
| Phone Number | 8586337546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A98477 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Divino Plastic Surgery, Inc.?
The Divino Plastic Surgery, Inc. has been issued the NPI (National Provider Identifier) 1629275946 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Divino Plastic Surgery, Inc.?
The Divino Plastic Surgery, Inc. is physically situated at 180 Otay Lakes Rd, in the city of Bonita, state of CA, with the postal code 919022443.
What is Divino Plastic Surgery, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Divino Plastic Surgery, Inc. is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Divino Plastic Surgery, Inc. receive its 1629275946 assignment from the Centers for Medicare & Medicaid Services?
The Divino Plastic Surgery, Inc. was assigned its 1629275946 by the Centers for Medicare & Medicaid Services on 2007-06-29.
As of what date were the details related to Divino Plastic Surgery, Inc. most recently updated or revised?
The information pertaining to Divino Plastic Surgery, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2013-08-05.