Organization Active NPI

Academy Skin Physicians, Inc.

  • MOHS-Micrographic Surgery Physician
  • San Diego, CA
National Provider Identifier
1447296363
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A65177 Issued in CA
Legal business name
ACADEMY SKIN PHYSICIANS, INC.
Practice address
4510 Executive Dr
Suite 210
San Diego, CA 92121-3021
Phone
(858) 452-1430
Fax
(858) 452-0651
NPI assigned
Jun 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alizabeth Lechi Truong, M.D.
Title
President
Phone
(858) 452-1430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A68200 CA
MOHS-Micrographic Surgery Physician 207ND0101X A65177 CA Primary

Addresses

Primary practice location

4510 Executive Dr
Suite 210
San Diego, CA 92121-3021

Mailing address

4510 Executive Dr
Suite 210
San Diego, CA 92121-3021
Phone (858) 452-1430

National Provider Directory

National Provider Directory

Locations

4520 Executive Dr
Ste 325
San Diego, CA 92121
Phone (858) 346-2065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1447296363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-452-1430",
            "fax_number": "858-452-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-452-1430",
            "fax_number": "858-452-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY SKIN PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "ALIZABETH",
        "authorized_official_middle_name": "LECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-452-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A68200",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A65177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.