Provider Demographics
NPI:1629321203
Name:COLLINS, JESSICA SAYA (MD, FRCSC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SAYA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MD, FRCSC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:NATALIE ALEXANDRA
Other - Last Name:COLIN-DURAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5893 COPLEY DR
Mailing Address - Street 2:4TH FLOOR PLASTIC SURGERY CLINIC
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-7906
Mailing Address - Country:US
Mailing Address - Phone:844-616-5001
Mailing Address - Fax:
Practice Address - Street 1:5893 COPLEY DR
Practice Address - Street 2:4TH FLOOR PLASTIC SURGERY CLINIC
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111
Practice Address - Country:US
Practice Address - Phone:844-616-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 123315208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery