# CALIFORNIA DERMATOLOGY INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Dermatology Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245064013
- **Authorized official:** NAVID EZRA (OWNER)
- **Authorized official phone:** (805) 298-7034

## Contact information

- **Practice address:** 980 N D ST, SAN BERNARDINO, CA 92410-3520
- **Practice address phone:** (805) 298-7034
- **Mailing address:** 3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
- **Mailing address phone:** (805) 298-7034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 08/26/2024