Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Panda Dermatology, a Professional Medical Corporation

Organization Dermatology Physician · NPI 1639003353

Panda Dermatology, a Professional Medical Corporation is a Dermatology Physician in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-7639
Phone: (661) 425-0102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1639003353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Taheri — Ceo · (310) 276-3560
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address10884 Santa Monica Blvd Ste 402, Los Angeles, CA 90025-7639

Other providers in Los Angeles