La Jolla Facial Plastic Surgery Inc
Specialty details in registry · San Diego, CA
At a glance
4765 Carmel Mountain Rd, San Diego, CA 92130-6657
NPPES record updated Feb 21, 2017. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
4765 Carmel Mountain Rd Suite 103San Diego, CA 92130-6657
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207YX0905X
- Enumeration date
- Sep 14, 2015
- Record updated
- Feb 21, 2017
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
207YX0905X · Primary
License reported: A136426 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4765 Carmel Mountain RdSuite 103
San Diego, CA 92130-6657
- Phone
- (858) 461-0383
- Fax
- (858) 430-2772
Mailing address
4765 CARMEL MOUNTAIN RDSUITE 103
SAN DIEGO, CA 921306657
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