DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHIRLEY LYNNE VAN, MD

Active Sole Proprietor

DR. SHIRLEY LYNNE VAN, MD is a Dermatology healthcare provider located in SAN LUIS OBISPO, California. NPI 1063530749 is currently active in the NPPES registry. Verify at CMS.

Dermatology · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1063530749
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2007 (19.372653514599 yrs)
Last Updated
Oct 1, 2025
License
G51607 (CA)
Sole Proprietor
Yes

Practice Information

Address
862 AEROVISTA PL STE 100
SAN LUIS OBISPO, CA, 934018758
Browse CA providers · Browse ZIP 93401
Phone
8055498023
Fax
8055498252
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in SAN LUIS OBISPO, CA

Name Credential NPI
DR. KAREN DENISE ALLEN MD 1942200183
DR. MICHAEL P HEFFERNAN MD 1518923432
CHARLES B. FISHMAN M.D. 1194825752
DR. PAUL STEPHEN COLLINS M.D. 1437361771
JENNIFER REMINGTON M.D. 1265616361
LISA LINDVALL AQUINO MD 1063781557
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.