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

San Diego Dermatology and Cosmetic Surgery Medical Group, Inc

Organization Dermatology Physician · NPI 1447334396

San Diego Dermatology and Cosmetic Surgery Medical Group, Inc provides Dermatology Physician services in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6367 Alvarado Ct Ste 107
San Diego, CA 92120-4904 Not confirmed with CMS for 13 years — call before visiting
Phone: (619) 287-1882
Fax: (619) 287-4121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G83901 (CA)

Record details

NPI number1447334396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Shahan — President · (619) 287-1882
NPI enumeratedOctober 25, 2006
Last updated in NPPESDecember 26, 2012
Mailing address6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4904

Other providers in San Diego