Individual provider · Type 1 NPI

Carlos O. Chacon, MD

Plastic and Reconstructive Surgery Physician · Bonita, CA

NPI number 1790126316 Active

Practice location

180 Otay Lakes Rd, 110
Bonita, CA 91902-2443

Call (858) 633-7546 Map

Fax (760) 634-6785

Mailing address

384 Minot Ave
Chula Vista, CA 91910-2937

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XA98477 (CA)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

14 other providers at this address

About NPI 1790126316

Carlos O. Chacon, MD's National Provider Identifier is 1790126316, issued on Jul 11, 2013. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Bonita, CA. The record was last updated on Aug 6, 2015.