Healthcare Provider Details

I. General information

NPI: 1457255838
Provider Name (Legal Business Name): THE CARLEY CLINIC, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7695 CARDINAL CT STE 370
SAN DIEGO CA
92123-3332
US

IV. Provider business mailing address

7695 CARDINAL CT STE 370
SAN DIEGO CA
92123-3332
US

V. Phone/Fax

Practice location:
  • Phone: 858-277-1599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMA CARLEY
Title or Position: OWNER
Credential: MD
Phone: 858-231-1660