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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.

NPI Number 1447296363
LBN Legal business name ACADEMY SKIN PHYSICIANS, INC.
Authorized official ALIZABETH TRUONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
CA License # A65177
CA License # A68200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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