MOJAN DERISS, PA-C — NPI 1740740372 — Physician Assistant — (CA)
MOJAN DERISS, PA-C — NPI 1740740372 — Physician Assistant — (CA) is one of 9,000 providers in the NPIVerify dataset. Key details — Provider name: MOJAN DERISS, PA-C; NPI number: 1740740372; Entity type: Individual.
| Provider name | MOJAN DERISS, PA-C |
|---|---|
| NPI number | 1740740372 |
| Entity type | Individual |
| Credential | PA-C |
| Primary specialty | Physician Assistant |
| State | CA |
| City | WESTLAKE VILLAGE |
| ZIP code | 913614040 |
| Phone | 805-379-3376 |
| NPI status | A |
| Enumeration date | 2019-03-20 |
| Last updated | 2023-09-07 |
$199/mo
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