Organization
CALIFORNIA DERMATOLOGY INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID EZRA MD (PRESIDENT)
(805) 222-5803
Entity
Organization
Contact information
Practice address
44651 VILLAGE CT STE 102, PALM DESERT, CA 92260-3821
(805) 298-7034
(805) 298-7139
Mailing address
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
(805) 298-7034
(805) 298-7139
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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