Individual provider · Type 1 NPI

Russell De Jong, MD

Otolaryngology Physician · San Diego, CA

NPI number 1205468634 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Call (858) 576-1700 Map

Mailing address

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X33801 (NE)
Otolaryngology Physician Primary 207Y00000XA207835 (CA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1205468634

Russell De Jong, MD's National Provider Identifier is 1205468634, issued on Feb 4, 2020. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 17, 2026.