NPI 1013630227
Charleston Chua MD
Practice location
- Address
- 4270 S Decatur Blvd STE B1b, Las Vegas, NV 89103-6802
- Phone
- (702) 460-6009
- Mailing address
- 3352 Tranquil Garden St, Las Vegas, NV 89117-3820
Authorised official
- Name
- Charleston Chua
- Title
- Owner
- Phone
- (702) 460-6009
Registered specialties
Plastic and Reconstructive Surgery Physician
Primary
Registry record
- NPI
- 1013630227
- Entity type
- Organization
- NPI issued
- 22 Sep 2022
- Record last updated
- 23 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.