DR. KEITH JAY WAHL MD
NPI 1154743987
Otolaryngology - Facial Plastic Surgery in La Jolla, CA

Q: What is Keith Wahl's NPI number?

The NPI number for Keith Wahl is 1154743987. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Q: What is Keith Wahl's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Keith Wahl was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2014

8735 NOTTINGHAM PL, LA JOLLA, CA 92037(858) 518-2190(858) 455-0655 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Keith Jay Wahl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH JAY WAHL MD (NPI 1154743987) is an individual facial plastic surgery provider in La Jolla, California, licensed in California (A24790) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1154743987

Entity TypeIndividualMale

Primary Taxonomy207YS0123X

Provider Legal NameDR. KEITH JAY WAHLCredential: MD

Location Address8735 NOTTINGHAM PLLa Jolla, CA 92037-2129

Mailing Address8735 Nottingham PlLa Jolla, CA 92037-2129 · (858) 518-2190 · Fax (858) 455-0655

Phone(858) 518-2190

Fax(858) 455-0655

Sole ProprietorYes

Enumeration DateJanuary 14, 2014

Last NPPES UpdateApril 30, 2019

✔ NPI 1154743987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in CA · A24790

Definition

An otolaryngologist who specializes in facial plastic surgery.

8735 NOTTINGHAM PL, La Jolla, CA 92037

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Wahl's NPI number?

The NPI number for Keith Wahl is 1154743987. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Keith Wahl located?

Keith Wahl practices at 8735 Nottingham Pl, La Jolla, CA 92037. The listed phone number is (858) 518-2190.

What is Keith Wahl's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Keith Wahl was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.