Organization
LA JOLLA PROFESSIONAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON G SOLTERO MD (PRESIDENT)
(858) 457-8686
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR. SUITE 105, SAN DIEGO, CA 92121
(858) 457-8686
(858) 450-7690
Mailing address
4510 EXECUTIVE DR. SUITE 105, SAN DIEGO, CA 92121
(858) 457-8686
(858) 450-7690
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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