Healthcare Provider Details

I. General information

NPI: 1093625691
Provider Name (Legal Business Name): TORREY PINES PLASTIC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 9TH ST STE B
DEL MAR CA
92014-2805
US

IV. Provider business mailing address

318 9TH ST STE B
DEL MAR CA
92014-2805
US

V. Phone/Fax

Practice location:
  • Phone: 858-260-3393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KAYVA CRAWFORD
Title or Position: OWNER
Credential: MD
Phone: 858-260-3393