Seaver Soon MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SEAVER SOON MD INC

Doing business as

The Skin Clinic MD

Practice address

3737 4TH Ave
San Diego, CA 92103-4202

Phone

(619) 299-0700

Fax

(619) 299-0772

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Seaver Lee Soon, MDNPI 1659301455

Title

President

Phone

(619) 425-2737

Specialties & licenses 1

Addresses

Other names 2

• The Skin Clinic MD Doing business as
• SEAVER SOON MD INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Seaver Lee Soon, M.D.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1659301455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1609361740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034202",
            "telephone_number": "619-299-0700",
            "fax_number": "619-299-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034202",
            "telephone_number": "619-299-0700",
            "fax_number": "619-299-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAVER SOON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "SOON",
        "authorized_official_first_name": "SEAVER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-425-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Skin Clinic MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEAVER SOON MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SEAVER SOON MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• William Danforth Seaward, R.N.
• Janet L. Seawell, REGISTERED NURSE
• Audrey Seay
• Kathryn Seay, PHD
• Aicha Sebaa

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.