Organization
FASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION
Active
Organization
FASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY HALLER MD (DERMATOLOGIST)
(858) 943-7903
Entity
Organization
Contact information
Practice address
421 BROADWAY # 346, SAN DIEGO, CA 92101-5107
(760) 399-6721
Mailing address
421 BROADWAY UNIT 346, SAN DIEGO, CA 92101-5107
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/21/2026
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