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
1201 E OCEAN AVE STE E, LOMPOC, CA 93436-7082
(805) 298-7034
Mailing address
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320-2130
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/05/2026
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