OrganizationActive
Dermatology and Hair Restoration Specialists,inc.
NPI 1639979602 · MOHS-Micrographic Surgery Physician · Los Angeles, CA
Provider details
- NPI number
- 1639979602
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ben Behnam, Director(310) 315-4989
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929
Phone: (310) 315-4989
Fax: (310) 998-3282
Approximate (ZIP-level) locationGet directions
Mailing address
11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929
Registry dates
- Enumerated
- 2025-03-18
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.