Coastal Skin And Eye Institute

LBN: Grossmont Dermatology Medical Clinic
Coastal Skin And Eye Institute is an health care organization with primary practice located at 8860 Center Dr Ste 300, La Mesa CA 91942-3068. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Ophthalmology, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty. Grossmont Dermatology Medical Clinic can be contacted via phone (619) 462-1670, or through Del Valle, Monica via phone (619) 462-1670.

Contact Information

Primary practice address
8860 Center Dr Ste 300 La Mesa CA 91942-3068
Phone: (619) 462-1670
Fax: (619) 462-3209
Website:
Map and Directions
Authorized official contact:
Name: Del Valle, Monica
Phone: (619) 462-1670

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1194838441
LBN Legal business name Grossmont Dermatology Medical Clinic
DBA Doing business as Coastal Skin And Eye Institute
Authorized official Del Valle, Monica
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 17th, 2006
Last updated Dec 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194838441 NPPES
California MEDICAID 00A233400
California MEDICAID 00G733400

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