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Organization
CALIFORNIA DERMATOLOGY INSTITUTE PC
Active
Organization
CALIFORNIA DERMATOLOGY INSTITUTE PC
Active
Other names
California Dermatology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID EZRA (OWNER)
(805) 222-5803
Entity
Organization
Contact information
Practice address
520 W PALMDALE BLVD STE A, PALMDALE, CA 93551-4230
(805) 298-7034
Mailing address
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
07/11/2023
Last updated
03/06/2026
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