PANDA DERMATOLOGY, A PROFESSIONAL MEDICAL CORPORATION
NPI 1639003353
Dermatology in Los Angeles, CA

Active since June 09, 2026
10884 SANTA MONICA BLVD STE 402, LOS ANGELES, CA 90025(661) 425-0102 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Panda Dermatology, A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANDA DERMATOLOGY, A PROFESSIONAL MEDICAL CORPORATION (NPI 1639003353) is a healthcare organization registered as a dermatology in Los Angeles, California and active in the NPI registry since June 2026. The organization lists Daniel Taheri, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639003353
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePANDA DERMATOLOGY, A PROFESSIONAL MEDICAL CORPORATION
Location Address10884 SANTA MONICA BLVD STE 402Los Angeles, CA 90025-7639
Mailing Address10884 Santa Monica Blvd Ste 402Los Angeles, CA 90025-7639
Organization SubpartNo
Authorized OfficialDaniel TaheriCeo · (310) 276-3560
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1639003353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

10884 SANTA MONICA BLVD STE 402, Los Angeles, CA 90025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025
Dermatology
10884 SANTA MONICA BLVD STE 402
LOS ANGELES, CA 90025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panda Dermatology, A Professional Medical Corporation's NPI number?

The NPI number for Panda Dermatology, A Professional Medical Corporation is 1639003353. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Panda Dermatology, A Professional Medical Corporation located?

Panda Dermatology, A Professional Medical Corporation is located at 10884 Santa Monica Blvd Ste 402, Los Angeles, CA 90025. The listed phone number is (661) 425-0102.

What is Panda Dermatology, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Panda Dermatology, A Professional Medical Corporation was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.