IndividualActive
Bruce Edens, MD
NPI 1699842583 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · San Diego, CA
Provider details
- NPI number
- 1699842583
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G40544 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense G40544 (CA)
Allopathic & Osteopathic Physicians
Practice location
4647 Zion Ave
San Diego, CA 92120-2507
Phone: (619) 528-5000
Approximate (ZIP-level) locationGet directions
Mailing address
4647 Zion Ave
San Diego, CA 92120-2507
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.