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Coastal Medical and Cosmetic Dermatology Inc

Dermatology Physician in La Jolla, CA · enumerated 2009 · authorized official Darrell Gonzales, Owner, President, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346488004

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Medical and Cosmetic Dermatology Inc
Practice address 9850 Genesee Ave Ste 500, La Jolla, CA, 92037
Phone (858) 657-0267
Enumeration date Feb 3, 2009
Last updated in NPPES Dec 17, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License A88738 (CA) Primary

Authorized official

Name Darrell Gonzales
Title Owner, President, Cfo
Phone (858) 657-0267

Other identifiers

Identifier Type State Issuer
1417960188 Other - INDIVIDUAL NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Coastal Medical and Cosmetic Dermatology Inc?
Coastal Medical and Cosmetic Dermatology Inc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-17.