Individual
RAHEL DEMISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE STREET, CT-A7D, LOS ANGELES, CA 90033
(323) 226-7556
(323) 226-2657
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A135179
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RD323 2267556
RD323 2267556
—
Enumeration date
04/17/2013
Last updated
08/13/2021
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