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

La Jolla Facial Plastic Surgery Inc

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1033587589

La Jolla Facial Plastic Surgery Inc is an Otolaryngology/Facial Plastic Surgery Physician in San Diego, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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

4765 Carmel Mountain Rd Ste 103
San Diego, CA 92130-6657
Phone: (858) 461-0383
Fax: (858) 430-2772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence A136426 (CA)

Record details

NPI number1033587589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Chung — President/Director · (858) 461-0383
NPI enumeratedSeptember 14, 2015
Last updated in NPPESFebruary 21, 2017
Mailing address4765 Carmel Mountain Rd, Suite 103, San Diego, CA 92130-6657

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