Individual provider · Type 1 NPI

Mojan R. Deriss, PA-C

Physician Assistant · Westlake Village, CA

NPI number 1740740372 Active · reactivated Apr 28, 2021

Practice location

32144 Agoura Rd Ste 106
Westlake Village, CA 91361-4040

Call (805) 379-3376 Map

Fax (805) 379-3267

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Dermatology Physician 207N00000XPA60028 (CA)
Physician Assistant Primary 363A00000XPA60028 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740740372

Mojan R. Deriss, PA-C's National Provider Identifier is 1740740372, issued on Mar 20, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Westlake Village, CA. The record was last updated on Sep 7, 2023.