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

Pacific Shores Dermatology & Skin Cancer Institute

Organization Dermatology Physician · NPI 1447077177

Pacific Shores Dermatology & Skin Cancer Institute is a Dermatology Physician in Arroyo Grande, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

860 Oak Park Blvd Ste 101
Arroyo Grande, CA 93420-1800
Phone: (805) 202-8245
Fax: (805) 202-8117
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1447077177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Sandoval — Owner · (760) 217-1457
NPI enumeratedSeptember 24, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing addressPo Box 2505, Pismo Beach, CA 93448-2505

Other providers in Arroyo Grande