Deriss, Mojan R

Deriss, Mojan R is an sole proprietor health care provider with primary practice located at 32144 Agoura Rd Ste 106 , Westlake Village CA 91361-4040. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Deriss, Mojan R can be contacted via phone (805) 379-3376.

Contact Information

Primary practice address
32144 Agoura Rd Ste 106 Westlake Village CA 91361-4040
Phone: (805) 379-3376
Fax: (805) 379-3267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA60028 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60028 California

Profile Details

NPI number 1740740372
LBN Legal business name Deriss, Mojan R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2019
Last updated Sep 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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