Organization
CALIFORNIA DERMATOLOGY INSTITUTE PC
Active
Other names
California Dermatology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID EZRA (OWNER)
(805) 298-7034
Entity
Organization
Contact information
Practice address
980 N D ST, SAN BERNARDINO, CA 92410-3520
(805) 298-7034
Mailing address
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
(805) 298-7034
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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