Individual
DAVID JEFFREY DEMANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, B265, LOS ANGELES, CA 90095-0001
(310) 825-0128
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0128
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
G29678
CA
2085R0001X
Radiation Oncology Physician
Primary
G29678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G296780
—
CA
Enumeration date
12/05/2006
Last updated
06/21/2010
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