NPI 1104110071
Navid Ezra, MD
Practice location
- Address
- 3095 Old Conejo Rd Suite 200, Thousand Oaks, CA 91320-2130
- Phone
- (805) 222-5803
Registered specialties (3)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Procedural Dermatology Physician
Registry record
- NPI
- 1104110071
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jun 2011
- Record last updated
- 22 Apr 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.