PRODERM IMAGE , A PROFESSIONAL MEDICAL CORPORATION
NPI 1811667264
Clinic/Center - Medical Specialty in Westlake Village, CA

Q: What is Proderm Image , A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since September 16, 2021

960 S WESTLAKE BLVD STE 208, WESTLAKE VILLAGE, CA 91361(805) 379-5970(805) 379-5970 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Proderm Image , A Professional Medical Corporation NPPES

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

PRODERM IMAGE , A PROFESSIONAL MEDICAL CORPORATION (NPI 1811667264), doing business as Proderm Image, is a healthcare organization registered as a medical specialty in Westlake Village, California and active in the NPI registry since September 2021. The organization lists Noel Figueroa, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811667264

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NamePRODERM IMAGE , A PROFESSIONAL MEDICAL CORPORATION

Location Address960 S WESTLAKE BLVD STE 208Westlake Village, CA 91361-3162

Mailing Address960 S Westlake Blvd Ste 208Westlake Village, CA 91361-3162 · (805) 379-5970 · Fax (805) 379-5970

Phone(805) 379-5970

Fax(805) 379-5970

Organization SubpartNo

Authorized OfficialNoel FigueroaOffice Manager · (805) 379-5970

Enumeration DateSeptember 16, 2021

NPPES CertifiedSeptember 16, 2021

✔ NPI 1811667264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

960 S WESTLAKE BLVD STE 208, Westlake Village, CA 91361

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Other Names 1

Doing Business AsProderm Image

Other Providers at the Same Location NPPES

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

MS. MIA DE LEON NP

Nurse Practitioner

960 S WESTLAKE BLVD STE 208
WESTLAKE VILLAGE, CA 91361

Los Angeles County (805) 379-5970

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 Proderm Image , A Professional Medical Corporation's NPI number?

The NPI number for Proderm Image , A Professional Medical Corporation is 1811667264. It was assigned to this organization in the NPPES registry on September 16, 2021. The provider is doing business as Proderm Image.

Where is Proderm Image , A Professional Medical Corporation located?

Proderm Image , A Professional Medical Corporation is located at 960 S Westlake Blvd Ste 208, Westlake Village, CA 91361. The listed phone number is (805) 379-5970.

What is Proderm Image , A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Proderm Image , A Professional Medical Corporation was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.