Organization
CALIFORNIA DERMATOLOGY INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID EZRA (OWNER)
(805) 222-5803
Entity
Organization
Contact information
Practice address
626 W MAIN ST, EL CENTRO, CA 92243-2920
(805) 222-5803
Mailing address
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
05/05/2026
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