Dermatology and Hair Restoration Specialists,Inc.

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

License

A95319 Issued in CA

Legal business name

DERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC.

Practice address

2825 Santa Monica Blvd
Suite 303a
Santa Monica, CA 90404-2429

Phone

(888) 543-8424

NPI assigned

Sep 13, 2009

Last updated

Sep 23, 2013By 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. Ben E Behnam, MDNPI 1720278534

Title

Dermatologist

Phone

(310) 433-8143

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Derm Hair Restoration Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dermatology and Hair Restoration Specialists,Inc.

  • MOHS-Micrographic Surgery Physician
  • Los Angeles, CA
  • NPI 1639979602
  NPD tax ID

Locations

Practitioners 2

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.

• Ben E Behnam, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1720278534
  Medicare reassignment Authorized official
• Shahrad Behnam, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1043487267
  NPD

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

{
    "created_epoch": "1252800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1962735662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD",
            "address_2": "SUITE 303A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042429",
            "telephone_number": "888-543-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD",
            "address_2": "SUITE 303A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042429",
            "telephone_number": "888-543-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-13",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "BEHNAM",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "310-433-8143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "A95319",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Demidova
• Lin Deng, MD
• Erica Denley, D.D.S.
• Isabel Dennahy
• Jacquelyn Marie Derian Boebel, OTR/L
• Dermatology Institute & Skin Care Center, Inc.
• Laurent Derouaux
• Deep C Desai, M.D.
• Swati Desai, PHD., LCSW
• Lara Elisabeth Desanto

• 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 Sep 23, 2013; 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.