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C MALEKI MD INC. NPI 1841487600


NPI Information

NPI: 1841487600
Provider Name: C MALEKI MD INC.

Doing Business As: DERMATOLOGY AND REJUVENATION CENTER

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 05D0954151

Address:
2230 LYNN RD
SUITE 105
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 496-6611
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C MALEKI MD INC. is a dermatology in Thousand Oaks, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. C MALEKI MD INC. NPI is 1841487600. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dermatology And Rejuvenation Center.

The provider's business location address is:

2230 LYNN RD
SUITE 105
THOUSAND OAKS, CA
ZIP 91360-901
Phone: (805) 496-6611
Fax: (805) 494-6756

The provider's authorized official is Comron Maleki .
The authorized official title is President and has the following contact phone number (805) 496-6611.

The CLIA number assigned to this NPI record is 05D0954151 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryA36282CALIFORNIANo
2207ND0900XDermatologyDermatopathologyA36282CALIFORNIANo
3207NP0225XDermatologyPediatric DermatologyA36282CALIFORNIANo
4207NS0135XDermatologyProcedural DermatologyA36282CALIFORNIANo
5207N00000XDermatologyA36282CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A84870MEDICARE UPINCALIFORNIA
2S051522MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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