Socal Skin and Surgery
NPI 1710687157 · Dermatology Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Socal Skin and Surgery is a Dermatology Physician organization in Los Angeles, CA (NPI 1710687157).
Provider details
- NPI number
- 1710687157
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenny Wang, Dermatologist(240) 246-3164
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Socal Skin and Surgery
- Doing business as
- Socal Skin and Surgery
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-07-04
- Certified
- 2023-07-04
Frequently asked questions
- What is Socal Skin and Surgery's NPI number?
- Socal Skin and Surgery's National Provider Identifier (NPI) is 1710687157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Socal Skin and Surgery?
- Socal Skin and Surgery is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Socal Skin and Surgery located?
- Socal Skin and Surgery's practice location on file with NPPES is 12555 W Jefferson Blvd Ste 202, Los Angeles, CA 90066-7047.
- What is Socal Skin and Surgery's phone number?
- The practice phone number listed in the NPPES registry for Socal Skin and Surgery is (424) 543-0066.
- Does Socal Skin and Surgery accept Medicare?
- Socal Skin and Surgery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Socal Skin and Surgery?
- The authorized official listed on Socal Skin and Surgery's NPPES record is Jenny Wang, Dermatologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Socal Skin and Surgery's NPI active?
- Yes — Socal Skin and Surgery's NPI (1710687157) is active in the NPPES registry as of the last update on 2023-07-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.