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

Individual provider Plastic Surgery Physician · NPI 1790341832

Dr. Frederic Jerome Kolb, MD is a Plastic and Reconstructive Surgery in San Diego, California. Qualified in 1989, 37 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr # MC8890
San Diego, CA 92103-1911
Phone: (619) 543-6084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4510 Executive Dr Ste 103, San Diego, CA 92121-3022 — (858) 453-1469

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence SFP39 (CA)

Record details

NPI number1790341832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESOctober 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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