La Jolla Professional Plastic Surgery
Plastic Surgery

Address: 4510 Executive Dr. Suite 105, San Diego, CA 92121
Phone: 8584578686

La Jolla Professional Plastic Surgery (NPI# 1396383212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396383212
Entity Type Organization
Organization Name LA JOLLA PROFESSIONAL PLASTIC SURGERY
Practice Address 4510 Executive Dr. Suite 105
San Diego
CA 92121
Practice Telephone 8584578686
Practice Fax Number 8584507690
Mailing Address 4510 Executive Dr. Suite 105
San Diego
CA 92121
Mailing Telephone 8584578686
Mailing Fax Number 8584507690
Authorized Official Name Ron G Soltero (PRESIDENT)
Authorized Official Telephone 8584578686
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-11
Last Update Date 2019-12-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208200000X Plastic Surgery Allopathic & Osteopathic Physicians

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790341832 Frederic Jerome Kolb Plastic Surgery 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 2019-05-14
1891213245 Rishi Jindal Md Inc Plastic Surgery 12264 El Camino Real Ste 101, San Diego, CA 92130-3060 2017-09-06
1548530454 Dan Sullivan Smith Plastic Surgery 5988 Saint Denis Ter, San Diego, CA 92120-3015 2012-01-09
1134453640 Gary Haves Manchester Plastic Surgery 3720 Fourth Ave, San Diego, DC 92110-4763 2009-09-30
1992937304 Stuart B Kincaid Md, Facs, Apc Plastic Surgery 8929 University Center Ln Ste 201, San Diego, CA 92122-1008 2009-08-18
1760636534 Ahmad Nazih Saad Plastic Surgery 5370 Toscana Way, Unit H212, San Diego, CA 92122-5656 2008-11-06
1528239761 Innovative Plastic & Cosmetic Surgery Inc Plastic Surgery 6610 Flanders Dr, Suite 101, San Diego, CA 92121-3940 2008-03-16
1316069503 Salvatore John Pacella IIi Plastic Surgery 12395 El Camino Real Ste 112, San Diego, CA 92130-3084 2007-04-06
1700913902 Facesplus Inc Plastic Surgery 4510 Executive Dr Ste 200, San Diego, CA 92121-3023 2007-02-27
1720114291 Douglas William Reavie Plastic Surgery 15717 Bernardo Heights Pkwy, San Diego, CA 92128-3155 2007-02-26
Find all providers in SAN DIEGO

Office Location

Street Address 4510 EXECUTIVE DR. SUITE 105
City SAN DIEGO
State CA
Zip Code 92121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841852472 Unmanned Systems Operations Group Air Carrier 4655 Executive Dr., Suite 700, San Diego, CA 92121 2019-07-03
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
1609432244 Ramon Hernandez Behavior Technician 3978 Sorrento Valley Blvd., Ste 100, San Diego, CA 92121 2019-05-18
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
1346804366 Daniel Melita Massage Therapist 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 2019-04-25
1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
1265915466 Ailyn Martinez Behavior Technician 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 2018-09-13
1790265163 Genben Lifesciences Corporation Public Health or Welfare 6370 Lusk Blvd Ste F205, San Diego, CA 92121 2018-08-15
1427550961 Sin Yi Mak Occupational Therapist 6264 Ferris Square, San Diego, CA 92121 2018-03-01
1003328774 Fred George Seyfried Chiropractor 10505 Sorrento Valley Road, Suite 225, San Diego, CA 92121 2017-11-02
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Competitor

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City SAN DIEGO
Zip Code 92121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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