Derm/ophtho in CA may be one of the most specific and competitive matches in the country. I think you should pick either location or specialty that matters more to you.
If it’s location, LLU is a good choice and from what I can tell, most of their ophtho residents graduated from LLU, so they keep their own med students (this doesn’t seem to be the case with their 9 derm residents, and keep in mind, that is a small derm program). Because they keep their own so much, I think it is also your best shot at a CA ophtho program.
If it’s specialty, I would say that either UAB or Wayne State. UAB is probably the “best” program on the list with the most name recognition which definitely matters for competitive specialties. Not to mention, if your cheapest option is also the most prestigious, that’s hard to pass up. Wayne State would be a good option simply because of their connection to both DMC and Ford MC (albeit shaky connections), and they keep their med students too. So, instead of 5 ophtho spots at LLU or UAB, there are 12 spots up for grabs every year where they heavily favor Wayne State grads.