OrganizationActive
California Dermatology Institute PC
NPI 1578419131 · Non-Pharmacy Dispensing Site · Riverside, CA
Provider details
- NPI number
- 1578419131
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Navid Ezra, President(805) 298-7034
Specialties & taxonomies
Suppliers
Practice location
4415 Brockton Ave
Riverside, CA 92501-4004
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
- 2026-03-06
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.