Daniel Behroozan MD a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A76756 Issued in CA

Legal business name

DANIEL BEHROOZAN MD A MEDICAL CORPORATION

Doing business as

Dermatology Institute of Southern California

Practice address

2221 Lincoln Blvd
#100
Santa Monica, CA 90405-1320

Phone

(310) 392-1111

Fax

(310) 392-1101

NPI assigned

Dec 15, 2006

Last updated

Jun 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Behroozan, MDNPI 1851325716

Title

President

Phone

(310) 392-1111

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dermatology Institute of Southern California Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Shahrooz Behroozan, M..D.

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1851325716
  Medicare reassignment Care Compare group NPD Authorized official
• Luba Scherschun, M.D.

  • Dermatology Physician
  • Whittier, CA
  • NPI 1356429229
  Medicare reassignment Care Compare group NPD
• Nicole Tien, PA

  • Physician Assistant
  • Santa Monica, CA
  • NPI 1861119356
  Medicare reassignment Care Compare group NPD
• Ellen Kyungchae Lee, PA

  • Physician Assistant
  • Santa Monica, CA
  • NPI 1962046714
  Medicare reassignment Care Compare group
• Jacqueline Linnert

  • Surgical Physician Assistant
  • Santa Monica, CA
  • NPI 1841831047
  Medicare reassignment Care Compare group
• Lori Michele Hobbs, MD

  • Health Maintenance Organization
  • Los Angeles, CA
  • NPI 1104831866
  Medicare reassignment NPD
• Michael Zarrabi, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1831113257
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1760544639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LINCOLN BLVD",
            "address_2": "#100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051320",
            "telephone_number": "310-392-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LINCOLN BLVD",
            "address_2": "#100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051320",
            "telephone_number": "310-392-1111",
            "fax_number": "310-392-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9090 Burton Way",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111661",
            "country_code": "US",
            "telephone_number": "310-392-1111",
            "fax_number": "310-392-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL BEHROOZAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "BEHROOZAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-392-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A76756",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A76756",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A76756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W20251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Institute of Southern California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dermatology Institute of Southern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.