Organization · Type 2 NPI

California Dermatology Institute PC

Non-Pharmacy Dispensing Site · Santa Ana, CA

NPI number 1134813348 Active

Practice location

1211 N Broadway
Santa Ana, CA 92701-3411

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Another provider at this address

Ji Soo SongPhysician Assistant Santa Ana, CA NPI 1619792900

Other non-pharmacy dispensing site providers in Santa Ana

See all in Santa Ana →

NPI record

NPI: 1134813348
Entity type: Organization (Type 2)
Issued: Jun 8, 2023
Last updated: Oct 29, 2025
Status: Active

Other names

<unavail>
California Dermatology Institute · doing business as
California Dermatology Institute · doing business as

Authorized official

Navid Ezra, MD
CEO
(805) 222-5803

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1134813348

California Dermatology Institute PC's National Provider Identifier is 1134813348, issued on Jun 8, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Santa Ana, CA. The record was last updated on Oct 29, 2025.