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

Sunrise Dermatology PC

Organization Dermatology Physician · NPI 1144069782

Sunrise Dermatology PC is a Dermatology Physician in Thousand Oaks, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3095 Old Conejo Rd Ste 300
Thousand Oaks, CA 91320-2130
Phone: (805) 864-2920
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 number1144069782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Othman — Ceo · (818) 639-2339
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address3095 Old Conejo Rd Ste 300, Thousand Oaks, CA 91320-2130

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