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

Skin Surgery Medical Group Inc

Organization Dermatology Physician · NPI 1659326957

Skin 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.

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Practice location Address checks out

5222 Balboa Ave Sixth Fl
San Diego, CA 92117-6904 Not confirmed with CMS for 18 years — call before visiting
Phone: (858) 292-5101
Fax: (858) 292-0514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CA)

Record details

NPI number1659326957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Gross — President · (858) 292-5101
NPI enumeratedMay 24, 2006
Last updated in NPPESMay 5, 2008
Mailing address5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904

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