Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal Medical and Cosmetic Dermatology Inc

Organization Dermatology Physician · NPI 1346488004

Coastal Medical and Cosmetic Dermatology Inc provides Dermatology Physician services in LA Jolla, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9850 Genesee Ave Ste 500
LA Jolla, CA 92037-1213 Not confirmed with CMS for 10 years — call before visiting
Phone: (858) 657-0267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A88738 (CA)

Record details

NPI number1346488004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darrell Gonzales — Owner, President, Cfo · (858) 657-0267
NPI enumeratedFebruary 3, 2009
Last updated in NPPESDecember 17, 2015
Mailing address9850 Genesee Ave Ste 850, La Jolla, CA 92037-1213

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