Individual
DR. NAVID EZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3095 OLD CONEJO RD, SUITE 200, THOUSAND OAKS, CA 91320-2130
(805) 222-5803
Mailing address
3095 OLD CONEJO RD, SUITE 200, THOUSAND OAKS, CA 91320-2130
(805) 222-5803
(805) 222-0323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A135378
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A135378
CA
207NS0135X
Procedural Dermatology Physician
A135378
CA
Other
Enumeration date
06/08/2011
Last updated
04/22/2024
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