La Jolla Cosmetic Laser Clinic INC
NPI #1588966238 in La Jolla, California
Provider Information
- NPI Number
- 1588966238
- Entity Type
- Organization
- Organization Name
- La Jolla Cosmetic Laser Clinic INC
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 1, 2010
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 7720 FAY AVE
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-4309
- Phone
- (858) 454-2700
Authorized Official
- Name
- MRS. PAULA ORTIZ
- Title
- MEDICAL BILLING COORDINATOR
- Phone
- (858) 454-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Specialist |
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