OrganizationActive
San Diego Skin, Inc.
NPI 1972831998 · Ambulatory Surgical Clinic/Center · La Jolla, CA
Provider details
- NPI number
- 1972831998
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- M. Mofid, President(858) 909-9000
- License
- A83432 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
4150 Regents Park Row
Suite 300
La Jolla, CA 92037-9124
Phone: (858) 909-9000
Fax: (858) 909-9009
Street-level locationGet directions
Mailing address
4150 Regents Park Row
La Jolla, CA 92037-9124
Registry dates
- Enumerated
- 2009-12-02
- Last updated
- 2009-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.