NPI 1104023837

Mira Stotland, MD

Practitioner Dermatology Physician Thousand Oaks, CA

Practice location

Address: 267 W Hillcrest Dr, Thousand Oaks, CA 91360-4211
Phone: (805) 497-1694
Fax: (805) 373-7493
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A118635 (CA)

Other Dermatology providers in California →

Registry record

NPI: 1104023837
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2007
Record last updated: 20 Jun 2025

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.