Mojan R Deriss, PA-C
NPI #1740740372 in Westlake Village, California
Provider Information
- NPI Number
- 1740740372
- Entity Type
- Individual
- Name
- Mojan R Deriss, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 32144 AGOURA RD STE 106
- City
- Westlake Village
- State
- California
- ZIP Code
- 91361-4040
- Phone
- (805) 379-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Dermatology |
| Physician Assistant |
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