Active NPI
Dermatology and Hair Restoration Specialists,Inc.
- MOHS-Micrographic Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- DERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC.
- Practice address
- 11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929 - Phone
- (310) 315-4989
- Fax
- (310) 998-3282
- NPI assigned
- Mar 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ben E Behnam, MD
- Title
- Director
- Phone
- (310) 315-4989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Procedural Dermatology Physician | 207NS0135X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929
Mailing address
11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929
Phone (310) 315-4989
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2007176 | Dermatology and Hair Restoration Specialists | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Derm Hair Restoration Specialists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical & Laboratory Dermatological Immunology Physician
- Santa Monica, CA
- NPI 1962735662
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1720278534
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1043487267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1639979602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11669 SANTA MONICA BLVD STE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252929",
"telephone_number": "310-315-4989",
"fax_number": "310-998-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11669 SANTA MONICA BLVD STE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252929",
"telephone_number": "310-315-4989",
"fax_number": "310-998-3282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "BEHNAM",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-315-4989",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Mehron Daniel Deriss, MD
- Jeffrey H Derkach, DC
- Dermacore Systems, a Professional Medical Corporation
- Dermalcare Clinic
- Isaac Henry Derman
- Dermatology Express, a Professional Medical Corporation
- Dermatology Medical Associates of Century City
- Dermatology Unlimited, a Professional Medical Corporation
- Anna Dermenchyan, PHD, RN
- Karapet Gary Dermendjian, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.