Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divino Plastic Surgery, Inc

Organization Surgery Physician · NPI 1629275946

Divino Plastic Surgery, Inc is a Surgery Physician in Bonita, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 Otay Lakes Rd Ste #110
Bonita, CA 91902-2443
Phone: (858) 633-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A98477 (CA)

Record details

NPI number1629275946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Chacon — President · (858) 633-7546
NPI enumeratedJune 29, 2007
Last updated in NPPESAugust 5, 2013
Mailing address180 Otay Lakes Rd, Suite #110, Bonita, CA 91902-2443

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