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LA JOLLA COSMETIC LASER CLINIC INC
NPI 1588966238
Specialist in La Jolla, CA

Active since December 01, 2010
7720 FAY AVE, LA JOLLA, CA 92037(858) 454-2700(858) 454-2782 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About La Jolla Cosmetic Laser Clinic Inc NPPES

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

LA JOLLA COSMETIC LASER CLINIC INC (NPI 1588966238) is a healthcare organization registered as a specialist in La Jolla, California and active in the NPI registry since December 2010. The organization lists Paula Ortiz, Medical Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1588966238
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLA JOLLA COSMETIC LASER CLINIC INC
Location Address7720 FAY AVELa Jolla, CA 92037-4309
Mailing Address7720 Fay AveLa Jolla, CA 92037-4309 · (858) 454-2700 · Fax (858) 454-2782
Phone(858) 454-2700
Fax(858) 454-2782
Organization SubpartNo
Authorized OfficialPaula OrtizMedical Billing Coordinator · (858) 454-2700
Enumeration DateDecember 1, 2010
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1588966238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
7720 FAY AVE, La Jolla, CA 92037
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Other Identifiers 1

Medicaid1588966238CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARYAL ASAD SIDDIQUI MD
Dermatology
7720 FAY AVE
LA JOLLA, CA 92037
San Diego County (858) 454-2700
NASRIN MANI M.D.
Ophthalmology (Retina Specialist)
7720 FAY AVE
LA JOLLA, CA 92037
San Diego County (858) 454-2700
BRIANNA JARAMILLO BALDWIN ACNP
Nurse Practitioner (Acute Care)
7720 FAY AVE
LA JOLLA, CA 92037
San Diego County (858) 454-2700

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 La Jolla Cosmetic Laser Clinic Inc's NPI number?

The NPI number for La Jolla Cosmetic Laser Clinic Inc is 1588966238. It was assigned to this organization in the NPPES registry on December 1, 2010.

Where is La Jolla Cosmetic Laser Clinic Inc located?

La Jolla Cosmetic Laser Clinic Inc is located at 7720 Fay Ave, La Jolla, CA 92037. The listed phone number is (858) 454-2700.

What is La Jolla Cosmetic Laser Clinic Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for La Jolla Cosmetic Laser Clinic Inc was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.