Organization · Type 2 NPI

La Jolla Facial Plastic Surgery Inc

Otolaryngology/Facial Plastic Surgery Physician · San Diego, CA

NPI number 1033587589 Active

Practice location

4765 Carmel Mountain Rd, Suite 103
San Diego, CA 92130-6657

Fax (858) 430-2772

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XA136426 (CA)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1033587589

La Jolla Facial Plastic Surgery Inc's National Provider Identifier is 1033587589, issued on Sep 14, 2015. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in San Diego, CA. The record was last updated on Feb 21, 2017.