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Privacy Policy

Privacy Policy

of lajollaveincare.com

Effective Date: November 4, 2026

At NISHA BUNKE MD DBA La Jolla Vein & Vascular ("Practice," "we," "us," or "our"), we respect and value your privacy. This Privacy Policy explains how we collect, use, disclose, and safeguard your information when you visit our website, use our services, or engage with us in other ways. Please read this policy carefully to understand our practices regarding your personal data.

1. Information We Collect

We collect several types of information, including:

  • Personal Identification Information: name, email address, phone number, and similar contact details you provide through the contact and appointment forms on this website.
  • Health-Related Information: if you request information about, or schedule a consultation for, medical and cosmetic vein care, including ultrasound-guided vein treatment, vascular laser treatment, and cosmetic vein treatment, along with aesthetic and laser services, including chemical peels, erbium skin resurfacing, hand rejuvenation, IPL, laser hair removal, PRP, Q-switch laser treatment, SkinPen microneedling, IV hydration, and vitamin shots, you may voluntarily share health-related information relevant to that request. This information may be protected under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). See Section 7 below.
  • Technical Information: IP address, browser type, operating system, and browsing behavior, collected through cookies and similar technologies. See our Cookie Policy for details.
  • Usage Data: information about how you interact with our website, such as pages visited, time spent, and features used.
  • Transaction Information: if you make a purchase or enter into a financial transaction with us, we (or our payment processor) collect payment details and related transaction information. We do not store full payment card numbers on our own servers.

2. How We Use Your Information

We may use the information we collect to:

  • provide and maintain our services, including scheduling and responding to inquiries;
  • improve user experience and website functionality;
  • process transactions and fulfill orders;
  • communicate with you regarding appointments, updates, promotions, or other information relevant to your engagement with us;
  • comply with legal and regulatory obligations.

3. How We Share Your Information

We do not sell your personal information. We may share information in the following circumstances:

  • Marketing and technology partners: we work with ClinicGrower (Practice Growth Partners, LLC) as our marketing and website technology partner. ClinicGrower relies on service providers that include HighLevel (CRM and marketing automation), Google Analytics (website analytics), and Google reCAPTCHA (spam protection). We also use Boulevard (online scheduling, payments, and appointment text messaging) for our practice operations. These partners may process personal information on our behalf, solely to help us operate this website and communicate with you. They are not permitted to use your information for their own independent purposes.
  • Subcontractors and support services: we may share information with subcontractors who provide support services on our behalf, such as scheduling or customer service, subject to confidentiality obligations.
  • Legal obligations: we may disclose your information when required by law, in response to subpoenas, court orders, or other legal processes.
  • Business transfers: if we are involved in a merger, acquisition, or sale of some or all of our assets, your information may be transferred as part of that transaction. It will remain subject to the protections described in this Privacy Policy.

4. Important Notice Regarding Text Messaging Data

La Jolla Vein & Vascular ("we," "us," or "our") does not share customer SMS opt-in information, including phone numbers and consent records, with any affiliates or third parties for marketing, promotional, or other purposes unrelated to providing our direct services. All text messaging originator opt-in data and consent records are kept strictly confidential.

5. SMS Messaging & Compliance

By opting into our SMS messaging program, you agree to receive text messages related to our services, including appointment reminders, customer support, and important updates.

Opt-In & Consent

  • You will only receive SMS messages if you have explicitly opted in.
  • We maintain timestamped records of all opt-in actions.
  • We comply with the Telephone Consumer Protection Act (TCPA) and other applicable messaging regulations.
  • By submitting your information and opting in, you authorize La Jolla Vein & Vascular and its authorized service providers to contact you by phone, text message (SMS), or email for purposes related to your care and our services. This may include automated dialing systems, an artificial or prerecorded voice, or automated email, even if your phone number is listed on a state or national Do-Not-Call registry.

Opt-Out Instructions

  • You may cancel SMS messages at any time by replying "STOP", or "UNSUBSCRIBE" to any message from us.
  • You will receive a final confirmation message, and no further messages will be sent unless you re-opt in.
  • Opt-out requests are processed promptly.

Message Frequency & Content

  • Message frequency varies based on your interactions with us.
  • Messages will be directly related to the services you have requested.
  • We do not send promotional content without specific consent.

Help & Support

  • Reply "HELP" for assistance, or contact us directly at info@ljvascular.com or (858) 550-0330.
  • Customer support is available during regular business hours.

Carrier Disclaimer

  • Standard message and data rates may apply.
  • Carriers are not liable for delayed or undelivered messages.

SMS Data Protection

No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Sharing of information with subcontractors that provide support services on our behalf, such as scheduling or customer service, is permitted, subject to confidentiality obligations. All other categories of use exclude text messaging originator opt-in data and consent. This information will not be shared with any third parties, other than the SMS aggregators and platform providers (such as HighLevel and Boulevard) solely for the purpose of delivering messages you have consented to receive. We apply appropriate administrative, technical, and security measures to protect your SMS opt-in information and consent records.

6. Cookies and Tracking Technologies

We use cookies and similar tracking technologies to enhance your experience on our website, remember your preferences, and analyze site performance. For details on the categories of cookies we use, the third parties involved, and how to manage your preferences, please see our Cookie Policy.

7. HIPAA Notice

This section describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

If you submit individually identifiable health information to us through this website, including your name, contact information, and information about a potential health concern, that information may be protected under HIPAA. In compliance with HIPAA, the HIPAA Privacy Regulations, and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), the Practice:

  • does not use or further disclose protected health information (PHI) other than as expressly permitted;
  • does not sell, trade, or otherwise transfer your PHI to outside parties;
  • keeps your PHI stored in secured systems accessible only to authorized personnel, and encrypts sensitive information submitted through this website via Secure Socket Layer (SSL) technology;
  • requires any partner or subcontractor that receives PHI on our behalf, including our marketing technology partner ClinicGrower, to agree to the same restrictions and conditions of confidentiality; and
  • limits the use and disclosure of PHI to the minimum amount necessary to accomplish the intended purpose.

8. Data Security

We are committed to protecting your personal information and use industry-standard security measures to safeguard your data from unauthorized access, alteration, or destruction. However, no method of transmission over the internet is 100% secure, and we cannot guarantee the absolute security of information you transmit to us.

9. Your Privacy Rights

Depending on where you live, you may have certain rights regarding your personal information, which may include the right to:

  • access the personal information we hold about you;
  • correct inaccurate personal information;
  • request deletion of your personal information, subject to any legal or record-keeping requirements that apply to us;
  • object to, or request that we limit, certain uses of your personal information;
  • withdraw consent at any time, where our processing is based on your consent;
  • opt out of having your information used for targeted advertising, where applicable.

We will not discriminate against you for exercising any of these rights. To exercise any of these rights, please contact us using the details in Section 17 below. We will respond within the time period required by applicable law.

10. Testimonials and Before/After Photos

In accordance with the Federal Trade Commission (FTC) guidelines concerning endorsements and testimonials in advertising:

  • Testimonials and before/after photos displayed on this site reflect the real, individual experiences of patients who have used our services. Results vary, and we do not claim these results are typical for all patients.
  • Testimonials are published only with the patient's consent and are not intended to make claims that our services can diagnose, treat, cure, mitigate, or prevent any disease. Any such claims have not been evaluated by the FDA or another regulatory body.

11. Do Not Track Signals

Most web browsers and some mobile operating systems include a Do Not Track (DNT) setting that signals your preference not to have data about your online browsing activities monitored and collected. No uniform technology standard for recognizing and implementing DNT signals has been finalized, so we do not currently respond to DNT browser signals or any other mechanism that automatically communicates your choice not to be tracked online. California law requires us to tell you how we respond to these signals, and this is our response. If a standard for online tracking is adopted that we must follow, we will describe that practice in a revised version of this Privacy Policy.

12. Children's Privacy

We do not knowingly collect, solicit data from, or market to children under 18 years of age. By using our services, you represent that you are at least 18 or that you are the parent or guardian of a minor and consent to that minor's use of our services. If we learn that we have collected personal information from a child under 18, we will take reasonable measures to promptly delete it. If you become aware of any data we may have collected from a child under 18, please contact us using the details at the end of this Privacy Policy.

13. How Long We Keep Your Information

We keep your personal information only for as long as it is necessary for the purposes described in this Privacy Policy, unless a longer retention period is required or permitted by law, such as tax, accounting, medical record, or other legal requirements.

When we have no ongoing legitimate business need to process your personal information, we will delete or anonymize it. If that is not possible, for example because the information is stored in backup archives, we will securely store it and isolate it from further processing until deletion is possible.

14. Marketing Communications

You can unsubscribe from our marketing emails at any time by clicking the unsubscribe link in the email, and from our marketing text messages by replying "STOP" or "UNSUBSCRIBE". You can also contact us using the details at the end of this Privacy Policy. We may still send you service-related messages that are necessary to manage your care and your account, such as appointment confirmations and responses to your requests.

15. Rights Under US State Privacy Laws

In the past twelve months we have collected the following categories of personal information: identifiers (such as name, postal address, telephone number, email address, and IP address), personal information described in the California Customer Records statute, protected classification characteristics, commercial information, internet or other network activity, geolocation data, inferences drawn from the information we collect, and sensitive personal information (health data). We process sensitive personal information, such as health data, only when necessary, with your consent, or as otherwise permitted by law, and we do not use it to infer characteristics about you. We use and keep each category as described in the section on how long we keep your information.

Depending on your state of residence, you may have additional rights under US state privacy laws. These may include the right to know whether we process your personal information, to access it, to correct inaccuracies, to delete it, and to obtain a copy of the information you previously shared with us. They may also include the right to opt out of targeted advertising, the sale of personal information, or profiling, to limit the use or disclosure of sensitive personal information such as health data, and to be free from discrimination for exercising these rights. These rights are not absolute, and in some cases we may decline a request as permitted by law.

To exercise these rights, email us at info@ljvascular.com or use the contact details at the end of this Privacy Policy. Before acting on a request, we may need to verify your identity, and we will use the information in your request only for that purpose. You may designate an authorized agent to submit a request on your behalf. We may require proof that the agent is authorized to act for you.

If we decline to act on your request, you may appeal our decision by emailing info@ljvascular.com. We will respond in writing and explain the reasons for our decision. If your appeal is denied, you may submit a complaint to your state attorney general.

16. Changes to This Privacy Policy

We may update this Privacy Policy from time to time. Any changes will be posted on this page with an updated effective date. We encourage you to review this policy periodically.

17. Contact Us

If you have any questions or concerns about this Privacy Policy, please contact us at:

NISHA BUNKE MD DBA La Jolla Vein & Vascular

9850 Genesee Ave, Suite 410, La Jolla, CA 92037, United States

Email: info@ljvascular.com

Phone: (858) 550-0330

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Laser Vein Treatment

Laser Vein Pre-Treatment Instructions
laser treatment for spider veins
1. Discontinue medications or supplements that may thin your blood one week prior to vein treatments to minimize bruising and improve the success of your treatment. This includes fish oil, flax seed oil, Vitamin E, ginkgo blob, anti-inflammatory medications (ibuprofen, Motrin, Aleve), and red wine. If you are taking aspirin electively and not upon the advice of your physician, then you may stop it for 48 hours prior to your treatment. Do not stop aspirin if prescribed or recommended by your physician.

2. You may wish to bring a pair of shorts to wear during your treatment if you are having your legs treated.

3. If facial veins are being treated, there may be minor bruising and/or swelling following treatment. This can typically be covered using make-up. Plan accordingly since your face may show slight evidence of the laser treatment for a week or more.

4. If leg veins are being treated, there may be minor bruising, discoloration, and welting over treatment sites. Larger leg veins may appear bruised for a period of time after treatment. Full results can take weeks or months to be realized. Plan and schedule treatments accordingly, allowing for healing time and time for your treatment results to evolve to completion. The best time to treat leg veins are in fall, winter and spring when you are less inclined to wear shorts or be exposed to sun.

5. Plan treatments allowing for a period of no sun exposure, vigorous activity or useof hot tubs, saunas or spas for 48 hours after treatment.
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Castle Connolly Top Doctors are peer-nominated, and thoroughly vetted by our physician-led research team. These doctors are best-in-class healthcare providers, embodying excellence in clinical care as well as interpersonal skills.
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Current Promos

For established patients only, new patients call 858-550-0330 for consultation details.
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VARITHENA® CHEMICAL ABLATION

illustration of varithena foam injection
Varithena® may be recommended based on your vein location, size, anatomy and vein tortuosity.
Varithena® is:
• Effective to treat veins of different sizes above and below the knee
• Requires no incisions, sedation or general anesthesia
• Does not require a wire to be inserted along the length of your vein
• Does not use heat, eliminating the risk of thermal injury
WHAT IS VARITHENA®?
Varithena® is a "microfoam" formulation of polidocanol (sclerosing agent) and CO2. The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream.
Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential contact where it's designed to displace blood and destroy the endothelial lining efficiently.
cross section of Illustration of a vein with foam sclerotherapy injection
Video below shows the proceedure.
How many treatments will I need?
The number and frequency of treatments depends on a patient's anatomy, how quickly the veins respond, and the patient's treatment goals. There is a limit on the amount of medication we can give you each day to avoid causing side effects. Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.
What should I expect on my treatment days?
You will sign your consent form then change into shorts provided by the office. We will clean your skin with alcohol, then use ultrasound to localize the veins. The foam medication will then be injected into your veins with a fine needle. The foam fills and treats the desired section of the vein. The diseased vein collapses and the foam is deactivated. Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

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¿Puedo obtener cobertura de seguro para mi tratamiento de venas?
Dependiendo de su plan de seguro, es posible que tenga o no gastos de bolsillo. Trabajamos con sus aseguradoras para maximizar su cobertura y brindarle un resumen completo del costo de su tratamiento. Creemos en la transparencia de costos y le proporcionaremos un estimado de cualquier gasto de bolsillo previsto. El costo es importante. ¡Podemos colaborar con su seguro para obtener esta información hoy mismo!
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Dr. Amanda Steinberger is a Harvard-trained, board-certified vascular interventional radiologist. She specializes in a broad range of superficial vein disease including varicose veins, spider veins, venous leg ulcers, lymphedema and cosmetic laser vein treatments. Dr. Steinberger sees patients in our La Jolla Office.

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Can I get insurance coverage for my vein treatment?
Depending on your insurance plan, you may or may not have out of pocket expenses. We work with your insurance providers to maximize your insurance coverage and provide a complete overview of your treatment cost. We believe in cost transparency and will provide a cost estimate of any anticipated out of pocket expenses. Cost is important. We can work with your insurance to find out this information today!
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Can I get insurance coverage for my vein treatment?
With Molina insurance plans, most patients should not have out of pocket expenses. We work with Molina to maximize your insurance coverage and provide a complete overview of your treatment cost. We believe in cost transparency and will provide a cost estimate of any anticipated out of pocket expenses. Cost is important. We can work with your insurance to find out this information today!