Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLOS O CHACON, M.D.
Active Sole ProprietorCARLOS O CHACON, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in BONITA, California. NPI 1790126316 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · BONITA, CA
Registration Details
- NPI Number
- 1790126316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2013 (13.103227860105 yrs)
- Last Updated
- Aug 6, 2015
- License
-
A98477 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 OTAY LAKES RD110BONITA, CA, 919022443Browse CA providers · Browse ZIP 91902
- Phone
- 8586337546
- Fax
- 7606346785
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.