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

South Bay Skin & Cancer Medical Group, Inc

Organization Procedural Dermatology Physician · NPI 1033289574

South Bay Skin & Cancer Medical Group, Inc provides Procedural Dermatology Physician services in Chula Vista, 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

256 Landis Ave Third Fl
Chula Vista, CA 91910-2650
Phone: (619) 426-9600
Fax: (619) 426-4112
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence G42243 (CA)

Record details

NPI number1033289574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Rullan — Medical Director · (619) 426-9600
NPI enumeratedNovember 9, 2006
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address256 Landis Ave, Third Floor, Chula Vista, CA 91910-2650