Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Medical and Cosmetic Dermatology Inc

Organization Dermatology Physician · NPI 1346488004

Coastal Medical and Cosmetic Dermatology Inc is a Dermatology Physician 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
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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