RUSSELL DE JONG MD
NPI 1205468634
Otolaryngology in San Diego, CA
- Individual
- Male
- Otolaryngology
About RUSSELL DE JONG
This page provides the complete NPI Profile along with additional information for Russell De Jong, a provider established in San Diego, California with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1205468634 assigned on February 2020. The practitioner's primary taxonomy code is 207Y00000X with license number A207835 (CA). The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1205468634 Verify this NPI
- Provider Name
- RUSSELL DE JONG MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3020 CHILDRENS WAY SAN DIEGO, CA 92123
- Location Phone
- (858) 576-1700
- Mailing Address
- 3551 ROGER BROOKE DR SAN ANTONIO, TX 78234
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-04-2020
- Last Update Date
- 06-17-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A207835
- License State
- CA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 33801 (NE) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205468634, enumerated as an "individual" on February 04, 2020.
The provider is located at 3020 CHILDRENS WAY SAN DIEGO, CA 92123 and the phone number is (858) 576-1700.
Otolaryngology with taxonomy code 207Y00000X.
