DERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC.
NPI 1639979602
Dermatology - MOHS-Micrographic Surgery in Los Angeles, CA

Q: What is Dermatology And Hair Restoration Specialists,inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since March 18, 2025

11669 SANTA MONICA BLVD STE 110, LOS ANGELES, CA 90025(310) 315-4989(310) 998-3282 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dermatology And Hair Restoration Specialists,inc. NPPES

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

DERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC. (NPI 1639979602) is a healthcare organization registered as a mohs-micrographic surgery in Los Angeles, California and active in the NPI registry since March 2025. The organization lists Ben E Behnam, Director, as its authorized official.

NPPES Registry Identity

NPI1639979602

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameDERMATOLOGY AND HAIR RESTORATION SPECIALISTS,INC.

Location Address11669 SANTA MONICA BLVD STE 110Los Angeles, CA 90025-2929

Mailing Address11669 Santa Monica Blvd Ste 110Los Angeles, CA 90025-2929 · (310) 315-4989 · Fax (310) 998-3282

Phone(310) 315-4989

Fax(310) 998-3282

Organization SubpartNo

Authorized OfficialBen E BehnamDirector · (310) 315-4989

Enumeration DateMarch 18, 2025

NPPES CertifiedMarch 18, 2025

✔ NPI 1639979602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

Also ListedSurgeryTaxonomy 208600000X

11669 SANTA MONICA BLVD STE 110, Los Angeles, CA 90025

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2007176

Dermatology And Hair Restoration Specialists · Los Angeles, CA

Expired · Jul 31, 2026

CLIA Number05D2007176

Laboratory TypePhysician Office

Certificate Effective DateOctober 6, 2022

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorBen E. Behnam MD

Laboratory Phone(310) 315-4989

Laboratory LocationDermatology And Hair Restoration Specialists11669 Santa Monica Blvd, Ste 110, Los Angeles, CA 90025

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

WASHINGTON BRYAN II, MD INC

Clinic/Center (Pain)