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

Fasttrack Dermatology MD, Medical Corporation

Organization Dermatology Physician · NPI 1336006733

Fasttrack Dermatology MD, Medical Corporation provides Dermatology Physician services in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

421 Broadway # 346
San Diego, CA 92101-5107
Phone: (760) 399-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1336006733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Haller — Dermatologist · (858) 943-7903
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address421 Broadway Unit 346, San Diego, CA 92101-5107

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