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Coastal Ent Medical Group Inc
Otolaryngology/Facial Plastic Surgery Physician in La Jolla, California
NPI 1568542256

Coastal Ent Medical Group Inc is a Otolaryngology/Facial Plastic Surgery Physician based in La Jolla, CA and is specialized in Otolaryngology/Facial Plastic Surgery. Coastal Ent Medical Group Inc practices in La Jolla, CA. The NPI Number for Coastal Ent Medical Group Inc is 1568542256 and holds a License No. G30707 (California).

The current practice location address for Coastal Ent Medical Group Inc is 9834 Genesee Ave, La Jolla, CA and can be reached out via phone at 858-457-1287 and via fax at 858-452-9160.

Location: 9834 Genesee Ave, La Jolla, CA, 92037-1223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568542256
Provider Name
Coastal Ent Medical Group Inc
Credential
Provider Entity Type
Organization
Address
9834 Genesee Ave, La Jolla, CA, 92037-1223
Phone Number
858-457-1287
Fax Number
858-452-9160
Provider Enumeration Date
10/16/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
9834 Genesee Ave
City
La Jolla
State
California
Zip
92037-1223
Phone Number
858-457-1287
Fax Number
858-452-9160
person
Provider Business Mailing Address Details
Address
9834 Genesee Ave
City
La Jolla
State
California
Zip
92037-1223
Phone Number
858-457-1287
Fax Number
858-452-9160
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
G30707 (California)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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