Organization
PACIFIC SHORES DERMATOLOGY & SKIN CANCER INSTITUTE
Active
Organization
PACIFIC SHORES DERMATOLOGY & SKIN CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA SANDOVAL DO (OWNER)
(760) 217-1457
Entity
Organization
Contact information
Practice address
860 OAK PARK BLVD STE 101, ARROYO GRANDE, CA 93420-1800
(805) 202-8245
(805) 202-8117
Mailing address
PO BOX 2505, PISMO BEACH, CA 93448-2505
(805) 202-8245
(805) 202-8117
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
09/24/2024
Last updated
10/16/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up