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

Frederick J De La Vega, MD

Organization Specialist · NPI 1083028898

Frederick J De La Vega, MD is a Specialist in LA Jolla, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

9834 Genesee Ave 411
LA Jolla, CA 92037-1223
Phone: (858) 677-1755
Fax: (858) 677-1771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A81923 (CA)

Record details

NPI number1083028898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick De La Vega — Owner · (858) 677-1755
NPI enumeratedJune 19, 2014
Last updated in NPPESJune 19, 2014
Mailing address23052 Alicia Pkwy, 619, Mission Viejo, CA 92692-1643

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