Individual provider · Type 1 NPI
Keith Jay Wahl, MD
Facial Plastic Surgery Physician · La Jolla, CA
NPI number
1154743987
Active
Practice location
8735 Nottingham Pl
La Jolla, CA 92037-2129
Fax (858) 455-0655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | A24790 (CA) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Other facial plastic surgery physician providers in La Jolla
About NPI 1154743987
Keith Jay Wahl, MD's National Provider Identifier is 1154743987, issued on Jan 14, 2014. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in La Jolla, CA. The record was last updated on Apr 30, 2019.