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

Dr. Keith Jay Wahl, MD

Individual provider Facial Plastic Surgery Physician · NPI 1154743987

Dr. Keith Jay Wahl, MD is a Facial Plastic Surgery Physician in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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

8735 Nottingham Pl
LA Jolla, CA 92037-2129
Phone: (858) 518-2190
Fax: (858) 455-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence A24790 (CA)

Record details

NPI number1154743987
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 14, 2014
Last updated in NPPESApril 30, 2019
Mailing address8735 Nottingham Pl, La Jolla, CA 92037-2129

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