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Licensing details for: A 135378

Name: EZRA, NAVID

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: David Geffen School of Medicine at UCLA

Graduation Year: 2011

Address of Record

3095 Old Conejo Road
Suite 200
THOUSAND OAKS CA 91320
VENTURA county
Map

Issuance Date

March 28, 2015

Expiration Date

September 30, 2028

Current Date / Time

August 10, 2026
7:56:38 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
4
Primary Area of Practice
Dermatology
Secondary Area of Practice
Not Applicable
ABMS Certifications
American Board of Dermatology - Dermatology
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 20-29 Hours
Percentage (%) of patient care hours spent on telehealth - 5
Training - Decline to State
Research - 10-19 Hours
Administration - 10-19 Hours
Other - None
Primary Practice Location
Zip - 91320-2130
United States Primary Practice Location
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
English
Persian (Farsi)
Spanish
Gender Identity
Decline to State

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