Coastal Skin & Eye Institute in Encinitas combines board-certified dermatology and ophthalmology under one practice at Saxony Place, with clinical roots tracing to a 1977 founding as Grossmont Dermatology Medical Clinic. The ophthalmology division coordinates complex periorbital cases — including cataract evaluation, glaucoma monitoring, and diabetic retinopathy screening — within the broader North County eye-care network that includes Morris Eye Group for high-volume retinal diagnostics. The lead dermatologist holds an MD/PhD from the Medical University of South Carolina with residency training at Emory University, where he served as Chief Resident before completing a Mohs micrographic surgery fellowship. Dual-specialty integration allows same-practice referral for oculoplastic concerns arising during dermatologic examination, eliminating the coordination gap between skin and periorbital surgical teams. Pediatric skin and eye screening for conditions such as congenital nevi and amblyopia coordinates developmental assessments with community pediatric providers including Children's Primary Care Medical Group. The practice's most involved dermatologic procedures include Mohs micrographic excision of periorbital basal cell carcinomas requiring staged flap reconstruction to preserve eyelid function and lacrimal duct integrity.