Organization
KOLSTAD PLASTIC SURGERY, INC
Active
Other names
Kolstad Facial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER KOLSTAD MD (OWNER)
(858) 859-2563
Entity
Organization
Contact information
Practice address
4180 LA JOLLA VILLAGE DR, SUITE 455, LA JOLLA, CA 92037
(858) 859-2563
(858) 999-3541
Mailing address
4180 LA JOLLA VILLAGE DR, SUITE 455, LA JOLLA, CA 92037
(858) 859-2563
(858) 999-3541
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
A100294
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2011
Last updated
08/21/2025
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