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

Maven Dermatology APC

Organization Dermatology Physician · NPI 1366124539

Maven Dermatology APC is a Dermatology Physician in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
APC — A professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3750 Convoy St Ste 155
San Diego, CA 92111-3739
Phone: (858) 736-9900
Fax: (858) 736-0661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1366124539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jusleen Ahluwalia — Ceo · (858) 736-9900
NPI enumeratedAugust 7, 2023
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address3750 Convoy St Ste 155, San Diego, CA 92111-3739

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