Individual provider · Type 1 NPI

Shirley Lynne Van, MD

Dermatology Physician · San Luis Obispo, CA

NPI number 1063530749 Active

Practice location

862 Aerovista Pl Ste 100
San Luis Obispo, CA 93401-8758

Call (805) 549-8023 Map

Fax (805) 549-8252

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 26800 Crown Valley Pkwy Ste 435, Mission Viejo, CA 92691-8023 · (949) 573-9510

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XG51607 (CA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

7 other providers at this address

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About NPI 1063530749

Shirley Lynne Van, MD's National Provider Identifier is 1063530749, issued on Mar 27, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 1, 2025.