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

Golden Coast Dermatology, Skin Cancer and Vein Center PC

Organization MOHS-Micrographic Surgery Physician · NPI 1053957456

Golden Coast Dermatology, Skin Cancer and Vein Center PC is an MOHS-Micrographic Surgery Physician in Mission Viejo, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

26732 Crown Valley Pkwy Ste 571
Mission Viejo, CA 92691-7305
Phone: (270) 933-2109
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1053957456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Tidwell — Owner/Physician · (270) 933-2109
NPI enumeratedNovember 20, 2019
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address26732 Crown Valley Pkwy Ste 571, Mission Viejo, CA 92691-7305

Other providers in Mission Viejo