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

San Diego Ear Head & Neck Surgery Medical Clinic Inc

Organization Otolaryngology Physician · NPI 1366598617

San Diego Ear Head & Neck Surgery Medical Clinic Inc is an Otolaryngology Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

9850 Genesee Ave Ste 710
LA Jolla, CA 92037-1224
Phone: (858) 458-9955
Fax: (858) 452-7848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence C39780 (CA)

Record details

NPI number1366598617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Van Such — Office Manager · (858) 458-9955
NPI enumeratedJanuary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9850 Genesee Ave, Ste 710, La Jolla, CA 92037-1224

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