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

Socal Skin and Surgery

Organization Dermatology Physician · NPI 1710687157

Socal Skin and Surgery is a Dermatology Physician in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12555 W Jefferson Blvd Ste 202
Los Angeles, CA 90066-7047
Phone: (424) 543-0066
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 number1710687157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Wang — Dermatologist · (240) 246-3164
Other names Socal Skin And Surgery; Socal Skin And Surgery
NPI enumeratedMarch 6, 2023
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023
Mailing address12555 W Jefferson Blvd Ste 202, Los Angeles, CA 90066-7047

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