DR. GABRIEL HAM-CHANG CHIU JR. (NPI# 1124140355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124140355 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL HAM-CHANG CHIU JR. |
| Credential | D.O. |
| Practice Address |
9454 Wilshire Blvd Ground Floor #108 Beverly Hills CA 90212-2929 |
| Practice Telephone | 3108888087 |
| Practice Fax Number | 3102461910 |
| Mailing Telephone | 3108888087 |
| Mailing Fax Number | 3102461910 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
20A8619 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE NO. | 20A8619 | 01 |
| CA | DEA NO. | BC7314999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665914 | Gabriel Chiu | Physical Therapy Assistant | 11098 El Amarillo Ave, Fountain Valley, CA 92708-4904 | 2016-08-30 |
| Street Address |
9454 WILSHIRE BLVD GROUND FLOOR #108 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699204032 | R Ray Nettles Md Inc | General Practice | 9454 Wilshire Blvd, #300, Beverly Hills, CA 90212 | 2017-06-08 |
| 1013465194 | Terry Simpson | Psychologist | 9454 Wilshire Blvd, Penthouse 1026-a, Beverly Hills, CA 90212-2931 | 2016-09-16 |
| 1083982896 | The Diennet Pharmacy | Pharmacy | 9454 Wilshire Blvd, Beverly Hills, CA 90212-2931 | 2011-12-07 |
| 1346521390 | The Diennet Pharmacy | Pharmacy | 9454 Wilshire Blvd, Beverly Hills, CA 90212-2931 | 2011-09-05 |
| 1861709131 | James Harris | Psychologist | 9454 Wilshire Blvd, Ph 1026a, Beverly Hills, CA 90212-2937 | 2010-09-08 |
| 1992011126 | Shirley Impellizzeri | Psychologist | 9454 Wilshire Blvd, Suite 301, Beverly Hills, CA 90212-2931 | 2010-08-25 |
| 1386967800 | Jillian C Boettcher | Dentist | 9454 Wilshire Blvd, Suite 311, Beverly Hills, CA 90212 | 2010-03-11 |
| 1568698603 | Beverly Hills Plastic Surgery, Inc. | Surgery | 9454 Wilshire Blvd, Ground Floor #108, Beverly Hills, CA 90212-2929 | 2009-06-03 |
| 1417139841 | Deborah A Termeie | Dentist | 9454 Wilshire Blvd, #311, Beverly Hills, CA 90212-2931 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1619355757 | Justin E Rome Md PC | Surgery | 256 S La Cienega Blvd, Beverly Hills, CA 90211-3302 | 2015-05-08 |
| 1346371929 | Dennis Dass | Surgery | 8929 Wilshire Blvd Ste 420, Beverly Hills, CA 90211-1953 | 2007-03-08 |
| 1891854915 | Ryan Andrew Stanton | Surgery | 9090 Burton Way, Beverly Hills, CA 90211 | 2006-12-06 |
| 1144301748 | Farid Afra | Surgery | 450 Trousdale Pl, Beverly Hills, CA 90210-1904 | 2006-10-18 |
| 1467076885 | Amy Maria York | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2020-06-01 |
| 1053960591 | Samer Alnajjar, M.d., Inc. | Surgery | 465 N Roxbury Dr Ste 1020, Beverly Hills, CA 90210-4213 | 2019-09-07 |
| 1861979288 | Cassileth Recontructive Surgeons, Inc | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2018-07-27 |
| 1265920672 | Andrew T Cohen A Medical Corporation | Surgery | 9400 Brighton Way Ste 201, Beverly Hills, CA 90210-4709 | 2018-05-01 |
| 1235663261 | Dr. Millicent Rovelo | Surgery | 465 N Roxbury Dr Ste 1001, Beverly Hills, CA 90210-4213 | 2017-04-17 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.