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

Kolstad Plastic Surgery, Inc

Organization Facial Plastic Surgery Physician · NPI 1588952188

Kolstad Plastic Surgery, Inc is a Facial Plastic Surgery Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3
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

4180 La Jolla Village Dr Ste 455
LA Jolla, CA 92037
Phone: (858) 859-2563
Fax: (858) 999-3541
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence A100294 (CA)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X

Record details

NPI number1588952188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Kolstad — Owner · (858) 859-2563
Other names Kolstad Facial Plastic Surgery
NPI enumeratedJuly 16, 2011
Last updated in NPPESAugust 21, 2025
Certification dateAugust 1, 2025
Mailing address4180 La Jolla Village Dr, Suite 455, La Jolla, CA 92037

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