OrganizationActive
Coastal Ent Medical Group Inc
NPI 1568542256 · Otolaryngology/Facial Plastic Surgery Physician · La Jolla, CA
Provider details
- NPI number
- 1568542256
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Halsey, President(858) 458-1287
- License
- G30707 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9834 Genesee Ave
Suite 416
La Jolla, CA 92037-1223
Phone: (858) 457-1287
Fax: (858) 452-9160
Approximate (ZIP-level) locationGet directions
Mailing address
9834 Genesee Ave
La Jolla, CA 92037-1223
Other names (DBA / former)
- Doing business as
- Coastal Ent Medical Group
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2012-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.