Provider Demographics
NPI:1568698603
Name:BEVERLY HILLS PLASTIC SURGERY, INC.
Entity Type:Organization
Organization Name:BEVERLY HILLS PLASTIC SURGERY, INC.
Other - Org Name:BHPS DR. GABRIEL CHIU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO- OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:HAM-CHANG
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:310-888-8087
Mailing Address - Street 1:9454 WILSHIRE BLVD
Mailing Address - Street 2:GROUND FLOOR #108
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2929
Mailing Address - Country:US
Mailing Address - Phone:310-888-8087
Mailing Address - Fax:310-246-1910
Practice Address - Street 1:9454 WILSHIRE BLVD
Practice Address - Street 2:GROUND FLOOR #108
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2929
Practice Address - Country:US
Practice Address - Phone:310-888-8087
Practice Address - Fax:310-246-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A86192086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A8619OtherMEDICAL LICENSE
CA20A8619OtherMEDICAL LICENSE