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Your Trusted Dermatology Partner in La Jolla
Coastal Medical & Cosmetic Dermatology is a premier medical, surgical, and cosmetic dermatology practice serving patients of all ages in the greater San Diego area. Founded and led by Dr. Darrell Gonzales, the practice combines advanced technology with personalized care to address skin disorders and enhance skin health and appearance. The team specializes in diagnosing and treating a wide range of dermatological conditions, from acne and skin cancer to cosmetic concerns like wrinkles and hair loss.

Patients benefit from a warm, welcoming environment and a commitment to staying at the forefront of dermatological innovation. The practice prioritizes superior care, ensuring a positive experience through easy scheduling, consistent follow-up, and a focus on patient education and satisfaction.
Services
Acne Treatment MOHS Surgery Pediatric Dermatology Sofwave Hair Loss Botox Cosmetic Fillers Laser Treatments Eczema Psoriasis
Highlights and features
  • We offer board-certified dermatologists with decades of combined experience.
  • Our team uses the most advanced technology and techniques for skin treatments.
  • We provide personalized care tailored to each patient's unique skin needs.
  • Our practice maintains a warm, welcoming environment for all patients.
  • We prioritize patient education and long-term skin health solutions.
What people say
Best dermatologist Excellent session Highly recommend Great bedside manner Outstanding
Services
Acne Treatment
Comprehensive acne care addresses mild to severe breakouts using personalized skincare products, chemical peels, and laser therapy. Our treatments target underlying causes like hormonal fluctuations and genetics while minimizing scarring. Patients receive tailored protocols to control acne and improve skin texture through a combination of topical medications, in-office procedures, and lifestyle guidance.
MOHS Surgery
Precision MOHS surgery removes skin cancer with minimal tissue loss and scarring. This technique involves layer-by-layer excision and microscopic analysis to ensure complete cancer removal while preserving healthy tissue. Ideal for facial and visible lesions, our team specializes in achieving high cure rates and optimal cosmetic outcomes through advanced surgical techniques.
Pediatric Dermatology
Specialized care for infants, children, and adolescents with skin conditions like eczema, psoriasis, and birthmarks. Our pediatric dermatologists provide age-appropriate treatments, including minor surgical procedures and chronic disease management. We focus on family education and creating a child-friendly environment to reduce anxiety during visits.
Sofwave
Non-invasive Sofwave technology uses ultrasound to stimulate collagen and elastin production, improving skin laxity and cellulite. Treatments require no downtime and deliver visible results in 4-12 weeks. Ideal for patients seeking facial rejuvenation or body contouring without surgery, with clinical evidence supporting long-lasting improvements.
Hair Loss Treatment
Diagnosis and treatment of male and female pattern baldness using FDA-approved medications like minoxidil and finasteride. We offer Revian Red Light Cap therapy for at-home hair regrowth and address underlying causes like thyroid issues or hormonal imbalances. Personalized plans combine medical treatments with lifestyle modifications to optimize results.
People
Dr. Darrell Gonzales
Founder & Board-Certified Dermatologist
Dr. Gonzales specializes in medical, surgical, and cosmetic dermatology with a focus on skin cancer treatment and cosmetic procedures. He leads the practice with expertise in advanced dermatological techniques.
Dr. Joyce Cheng
Board-Certified Dermatologist
Dr. Cheng provides comprehensive dermatologic care for all ages, with expertise in pediatric dermatology and clinical research. She emphasizes patient education and personalized treatment plans for optimal skin health.
Dr. Timothy Chang
Board-Certified Dermatologist
Dr. Chang offers compassionate care for medical and cosmetic skin concerns, known for his thorough evaluations and patient-centered approach to dermatological treatment and skin cancer prevention.
Dr. Alyssa Nash-Goelitz
Board-Certified Dermatologist
Dr. Nash-Goelitz specializes in diagnosing and treating complex skin conditions with a focus on patient comfort and evidence-based dermatological solutions for all skin types.
Questions
What services does Coastal Medical & Cosmetic Dermatology offer?
We specialize in medical, surgical, and cosmetic dermatology, including acne treatment, MOHS surgery, Botox, laser therapy, hair loss solutions, and pediatric dermatology.
How can I book an appointment?
Schedule online via our website or call us at 858-657-0267 for general inquiries or appointments.
Do you accept insurance?
We accept all PPOs, Medicare, and HealthExcel HMO with referral/authorization.
What makes your practice unique?
Our board-certified team combines advanced technology with personalized care in a patient-focused environment.
Are financing options available?
Yes, we offer financing options to make treatments more accessible. Visit our website for details.
Reviews (7)
Grace M.
Jan 18, 2022 Report
I visited Dr. Nash today for an appointment and it was amazing! The staff is very friendly and I was in and out within 30 minutes. My pharmacy messed up my prescription, so when I called back the medical assistant, Katie, was able to talk to me and fixed the issue in under an hour. She also gave me so many amazing samples which was such a plus!
Stephanie F.
Jan 07, 2022 Report
I love love coming here! Dr. Gonzales is so kind and informative! He never tries to push products or services I don't need. He always listens to my concerns and answers all my questions thoroughly. This is the cleanest doctor's office I've been to. The entire staff is great. I've been coming here for years and I'll keep returning as long as Dr. G is still practicing. 10/10 recommend!

I've been treated at his office for moles, skin tags, warts, scarring from piercings I had and even Botox. He's your go to dermatologist!!!!
Christine Barajas
Dec 21, 2021 Report
Dr. Gonzales and his team are wonderful. I always appreciate how professional and kind everyone is. It is refreshing to visit a doctor's office with such personalized focused attention. Keep up the excellent work!
Alan Winters
Nov 29, 2021 Report
First visit to Dr Gonzalez at Coastal Medical & Cosmetic Dermatology. He was incredibly thorough, friendly, explained things perfectly. I couldn't be happier with the visit!
Quentin Smith
Sep 21, 2021 Report
The dermatologist assistant that I consulted with was very nice, and had a reassuring demeanor. Front desk customer service could use some improvement
Jenni W.
Sep 09, 2021 Report
I have been seeing Dr. Gonzales for years! He has really improved my complexion with topical medications and the resurfx laser treatment. The laser helped soften up old acne scarring that I've had since I was a teenager and now everyone compliments me on my skin tone!

Dr. Gonzales has helped me with other cosmetics as well! (botox, fillers, etc.) I always leave the office looking refreshed and still like myself. I highly recommended this office not just for cosmetic but for any dermatologic issue! The staff is very friendly and accommodating to your needs.
Candace Austin
Sep 03, 2021 Report
I was taken in "at my appointment time". I don't like waiting and I didn't. Nice office and the NP was very thorough.