KOLSTAD PLASTIC SURGERY, INC – NPI #1588952188
Clinic/Center

KOLSTAD PLASTIC SURGERY, INC is an AHC clinic located in LA JOLLA, CA. NPPES has assigned the NPI number 1588952188 to KOLSTAD PLASTIC SURGERY, INC on July 16, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Aug 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KOLSTAD PLASTIC SURGERY, INC below.

NPI Profile for
KOLSTAD PLASTIC SURGERY, INC

NPI Number
1588952188
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KOLSTAD PLASTIC SURGERY, INC
Primary location
4180 LA JOLLA VILLAGE DR
SUITE 455
LA JOLLA, CA 92037
Phone: (858) 859-2563 Fax: (858) 999-3541
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER KOLSTAD
OWNER
Phone: (858) 859-2563
Updated
Certification Date
Aug 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery
207YS0123X
- Otolaryngology / Facial Plastic Surgery		 CA A100294

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.