Divine Plastic Surgery, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A84577 Issued in CA

Legal business name

DIVINE PLASTIC SURGERY, INC

Practice address

713 W Duarte Rd
Suite G-173
Arcadia, CA 91007-7564

Phone

(626) 449-3200

Fax

(626) 782-6198

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Eric Chaoko Hu, MD

Title

Owner

Phone

(626) 449-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1871808899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W DUARTE RD",
            "address_2": "SUITE G-173",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077564",
            "telephone_number": "626-449-3200",
            "fax_number": "626-782-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W DUARTE RD",
            "address_2": "SUITE G-173",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077564",
            "telephone_number": "626-449-3200",
            "fax_number": "626-782-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHAOKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-449-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A84577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A84577",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariel Dimzon, PHARM.D.
• Jean Ding, M.D.
• Wanjing Ding
• Thuynhi Dinh
• Megan Rae Divinagracia, BSN, RN
• Aivi Tang Doan, M.D./M.P.H.
• Alexandra Dobesh, DPT
• Doheny Eye Medical Group, Inc
• Rald Moel Antonio Dolom
• Betsabel Dominguez

• Plastic Surgery Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.