Academy Skin Physicians, INC.
Dermatology, MOHS-Micrographic Surgery in San Diego, CA. Organization (NPI-2).
NPI number1447296363
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1447296363
- Entity type
- Organization (NPI-2)
- Legal business name
- Academy Skin Physicians, INC.
- Organization subpart
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | A65177 | CA | Yes |
| 207N00000X | Dermatology | A68200 | CA |
Practice location
4510 Executive DrSuite 210
San Diego, CA 92121-3021
Phone 858-452-1430 · Fax 858-452-0651
Mailing address
4510 Executive DrSuite 210
San Diego, CA 92121-3021
Phone 858-452-1430 · Fax 858-452-0651
Authorized official
Alizabeth Lechi Truong
President
8584521430
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