Ehsan Azimi MD Dermatology Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

EHSAN AZIMI MD DERMATOLOGY CORP

Doing business as

Dermatology and Laser of Beverly Hills

Practice address

9735 Wilshire Blvd Ste 220
Beverly Hills, CA 90212-2110

Phone

(703) 268-3154

NPI assigned

Jun 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ehsan Azimi, MDNPI 1215457015

Title

MD/Practice Owner

Phone

(703) 268-3154

Specialties & licenses 1

Addresses

Other names 1

• Dermatology and Laser of Beverly Hills Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ehsan Azimi, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1215457015
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1326932682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122110",
            "telephone_number": "703-268-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122110",
            "telephone_number": "703-268-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHSAN AZIMI MD DERMATOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "AZIMI",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "MD/PRACTICE OWNER",
        "authorized_official_telephone_number": "703-268-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology and Laser of Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Y Liu MD a Prof Corp
• Julie Ann Edween, DO
• Guy Efron, MD
• Lynn Kerry Egerman, M.D.
• Ehab a. Mohamed Medical Corporation, Inc.
• Mahvash Ehsani
• Deana Eichenstein, PSYD
• Karyn S Eilber, MD
• Eldad Uri Einav, M.D.
• Sari B Eitches, MD

• Preferred Provider Organization in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.