KOLSTAD PLASTIC SURGERY INC NPI 1588952188

NPI Information

NPI: 1588952188
Provider Name: KOLSTAD PLASTIC SURGERY, INC

Doing Business As: KOLSTAD FACIAL PLASTIC SURGERY

Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
4180 LA JOLLA VILLAGE DR
SUITE 455
LA JOLLA, CA
ZIP 92037
Phone: (858) 859-2563
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KOLSTAD PLASTIC SURGERY, INC is a facial plastic surgery otolaryngology in La Jolla, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. KOLSTAD PLASTIC SURGERY, INC NPI is 1588952188. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kolstad Facial Plastic Surgery.

The provider's business location address is:

4180 LA JOLLA VILLAGE DR
SUITE 455
LA JOLLA, CA
ZIP 92037
Phone: (858) 859-2563
Fax: (858) 999-3541

The provider's authorized official is Christopher Kolstad .
The authorized official title is Owner and has the following contact phone number (858) 859-2563.

The enumeration date for this NPI number is 7/16/2011 and was last updated on 3/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	A100294	CALIFORNIA	Yes
2	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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