La Jolla Cosmetic Laser Clinic Inc
NPI 1588966238ActiveOrganization· Specialist· La Jolla, CA
Specialist in La Jolla, California, registered in NPPES in December 2010. The authorized official on file is Paula Ortiz, Medical Billing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588966238 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2010 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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