Gabriel Ham-Chang Chiu Jr., D.O.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

20A8619 Issued in CA

Practice address

9454 Wilshire Blvd
Ground Floor #108
Beverly Hills, CA 90212-2929

Phone

(310) 888-8087

Fax

(310) 246-1910

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beverly Hills Plastic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1568698603
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124140355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD",
            "address_2": "GROUND FLOOR #108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122929",
            "telephone_number": "310-888-8087",
            "fax_number": "310-246-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD",
            "address_2": "GROUND FLOOR #108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122929",
            "telephone_number": "310-888-8087",
            "fax_number": "310-246-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "GABRIEL",
        "middle_name": "HAM-CHANG",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "20A8619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NO.",
            "identifier": "20A8619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Chin, NP
• Meka Chinn, D.M.D.
• Lisa Chipps, MD, MS
• Jason William Chirichigno, M.D.
• Kayla Chism
• Robert Hyun Cho, M.D.
• Soyoung Kim Cho, N.P.
• Michael Choe, PT
• Jillian Kimberly Chong, M.D.
• Young Ok Chong, D.C.

• Plastic and Reconstructive Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.