Individual
DR. MEHDI FARSHAD DERAMBAKHSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16260 VENTURA BLVD, 140, ENCINO, CA 91436-2203
(818) 528-2500
(818) 528-2505
Mailing address
210 S PROSPECT AVE, #4, REDONDO BEACH, CA 90277-6802
(310) 218-6415
(818) 528-2505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A88950
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A88950
CA
207Q00000X
Family Medicine Physician
A88950
CA
Other
Enumeration date
05/11/2006
Last updated
09/11/2025
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