# CALIFORNIA DERMATOLOGY INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790627610
- **Authorized official:** NAVID EZRA (OWNER)
- **Authorized official phone:** (805) 222-5803

## Contact information

- **Practice address:** 3220 SEPULVEDA BLVD STE 102, TORRANCE, CA 90505-8160
- **Practice address phone:** (805) 222-5803
- **Mailing address:** 3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
- **Mailing address phone:** (805) 222-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2026
- **Last updated:** 05/05/2026