MEDICARE: DERMATOLOGY UNLIMITED, A PROFESSIONAL MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1144175860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMATOLOGY UNLIMITED, A PROFESSIONAL MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 16297
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90209-2297
Country	:	US
Telephone Number	:	310-276-3560
Fax Number	:

Provider Business Practice Location Address
First Line	:	10884 SANTA MONICA BLVD STE 402
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-7639
Country	:	US
Telephone Number	:	310-276-3560
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL TAHERI
Credential	:	MD
Telephone Number	:	310-276-3560

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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