Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal ENT Medical Group Inc

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1568542256

Coastal ENT Medical Group Inc is an Otolaryngology/Facial Plastic Surgery Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9834 Genesee Ave Ste 416
LA Jolla, CA 92037-1223
Phone: (858) 457-1287
Fax: (858) 452-9160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence G30707 (CA)

Record details

NPI number1568542256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Halsey — President · (858) 458-1287
Other names Coastal Ent Medical Group
NPI enumeratedOctober 16, 2006
Last updated in NPPESNovember 25, 2012
Mailing address9834 Genesee Ave, Suite 416, La Jolla, CA 92037-1223

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