Individual
VADIM SMIRNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN, MD
Contact information
Practice address
RAYMOND RENAISSANCE SURGERY CENTER, 125 N RAYMOND AV 212, PASADENA, CA 91103
(415) 290-0489
Mailing address
722 S MANHATTAN PL APT 301, LOS ANGELES, CA 90005-3122
(415) 290-0489
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3879
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3879
CA
Other
Enumeration date
01/20/2010
Last updated
02/03/2023
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