Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mojan R Deriss, PA-C

Individual provider Behavior Analyst · NPI 1740740372

Mojan R Deriss, PA-C is a Behavior Analyst in Westlake Village, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

32144 Agoura Rd Ste 106
Westlake Village, CA 91361-4040
Phone: (805) 379-3376
Fax: (805) 379-3267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60028 (CA)
Behavior Analyst Taxonomy 103K00000X
Dermatology Physician Taxonomy 207N00000X · Licence PA60028 (CA)

Record details

NPI number1740740372
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESSeptember 7, 2023
Certification dateJanuary 15, 2022

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