NPI 1437996436

California Dermatology Institute PC

Organisation Non-Pharmacy Dispensing Site Beaverton, OR

Practice location

Address: 16100 NW Cornell Rd STE 100, Beaverton, OR 97006-7369
Phone: (805) 298-7034
Fax: (805) 298-7139
Mailing address: 3095 Old Conejo Rd STE 200, Thousand Oaks, CA 91320-2130

Authorised official

Name: Navid Ezra
Title: Owner
Phone: (805) 222-5803

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Oregon →

Registry record

NPI: 1437996436
Entity type: Organization
NPI issued: 9 Jul 2024
Record last updated: 9 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.