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Contact Information

ACADEMY SKIN PHYSICIANS, INC.
4510 EXECUTIVE DR
SUITE 210
SAN DIEGO, CA92121-3021
 Phone: 858-452-1430
 Fax: 858-452-0651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ACADEMY SKIN PHYSICIANS INC · (Female)

NPI Number 1447296363
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A65177
  • CA License # A68200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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