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

Faryal Asad Siddiqui, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003342072

Faryal Asad Siddiqui, MD is a Dermatology in LA Jolla, California. Graduated from University of Tennessee, Hsc, College of Medicine in 2017, 9 years ago. Practices with La Jolla Cosmetic Laser Clinic Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
9
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
CA, HI
In the registry since
2017
Specialties on file
2
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

7720 Fay Ave
LA Jolla, CA 92037-4309
Phone: (858) 454-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Punchbowl St, Honolulu, HI 96813-2402 — (808) 538-9011

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A172297 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MDR### (HI)

Record details

NPI number1003342072
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice La Jolla Cosmetic Laser Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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