OrganizationActive
California Dermatology Institute PC
NPI 1265397574 · Non-Pharmacy Dispensing Site · San Luis Obispo, CA
Provider details
- NPI number
- 1265397574
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Navid Ezra, President(805) 222-5803
Specialties & taxonomies
Suppliers
Practice location
862 Meinecke Ave Ste 202
San Luis Obispo, CA 93405-3705
Phone: (805) 298-7034
Fax: (805) 298-7139
Approximate (ZIP-level) locationGet directions
Mailing address
3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.