MAVEN DERMATOLOGY APC NPI 1366124539

NPI Information

  • NPI: 1366124539
  • Provider Name: MAVEN DERMATOLOGY APC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 3750 CONVOY ST STE 155
    SAN DIEGO, CA
    ZIP 92111
  • Phone: (858) 736-9900

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NPI Details

MAVEN DERMATOLOGY APC is a dermatology in San Diego, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MAVEN DERMATOLOGY APC NPI is 1366124539. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3750 CONVOY ST STE 155
SAN DIEGO, CA
ZIP 92111-739
Phone: (858) 736-9900
Fax: (858) 736-0661

The provider's authorized official is Jusleen Ahluwalia .
The authorized official title is Ceo and has the following contact phone number (858) 736-9900.

The enumeration date for this NPI number is 8/7/2023 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyNo
2207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
3207NP0225XDermatologyPediatric DermatologyNo
4207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A144826OTHERCALIFORNIACALIFORNIA MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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