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

Fasttrack Dermatology MD, Medical Corporation

Organization Dermatology Physician · NPI 1336006733

Fasttrack Dermatology MD, Medical Corporation is a Dermatology Physician 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
Show map & directions

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

Other providers in San Diego