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

La Jolla Cosmetic Laser Clinic Inc

Organization Specialist · NPI 1588966238

La Jolla Cosmetic Laser Clinic Inc is a Specialist in LA Jolla, California. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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

7720 Fay Ave
LA Jolla, CA 92037-4309
Phone: (858) 454-2700
Fax: (858) 454-2782
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1588966238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Ortiz — Medical Billing Coordinator · (858) 454-2700
NPI enumeratedDecember 1, 2010
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address7720 Fay Ave, La Jolla, CA 92037-4309

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