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

South Bay Skin & Cancer Medical Group, Inc

Organization Procedural Dermatology Physician · NPI 1033289574

South Bay Skin & Cancer Medical Group, Inc is a Procedural Dermatology Physician in Chula Vista, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

256 Landis Ave Third Fl
Chula Vista, CA 91910-2650
Phone: (619) 426-9600
Fax: (619) 426-4112
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence G42243 (CA)

Record details

NPI number1033289574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Rullan — Medical Director · (619) 426-9600
NPI enumeratedNovember 9, 2006
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address256 Landis Ave, Third Floor, Chula Vista, CA 91910-2650