Organization · Type 2 NPI

Grossmont Dermatology Medical Clinic

Procedural Dermatology Physician · La Mesa, CA

NPI number 1194838441 Active

Practice location

8860 Center Dr, Ste 300
La Mesa, CA 91942-3068

Fax (619) 462-3209

Mailing address

8860 Center Dr Ste 300
La Mesa, CA 91942-7001

Other practice locations

  • 489 Saxony Pl Ste 101, Encinitas, CA 92024-2875 · (760) 257-5550
  • 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 · (858) 943-2540
  • 477 N El Camino Real Ste C300, Encinitas, CA 92024-1356 · (760) 257-5550

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Procedural Dermatology Physician Primary 207NS0135XNone listed
Ophthalmology Physician 207W00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

27 other providers at this address

About NPI 1194838441

Grossmont Dermatology Medical Clinic's National Provider Identifier is 1194838441, issued on Aug 17, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in La Mesa, CA. The record was last updated on Sep 30, 2025.