Provider Demographics
NPI:1376878470
Name:CHUGAY, NIKOLAS V SR (DO)
Entity Type:Individual
Prefix:DR
First Name:NIKOLAS
Middle Name:V
Last Name:CHUGAY
Suffix:SR
Gender:M
Credentials:DO
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Mailing Address - Street 1:4210 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2802
Mailing Address - Country:US
Mailing Address - Phone:562-595-8507
Mailing Address - Fax:562-988-9220
Practice Address - Street 1:4210 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2802
Practice Address - Country:US
Practice Address - Phone:562-595-8507
Practice Address - Fax:562-988-9220
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A3830207YS0123X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery