Individual
NIKOLAY DUDUMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6098
(213) 413-3000
(323) 666-2939
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1000
(714) 347-1082
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001647
CA
367500000X
Certified Registered Nurse Anesthetist
RNA203074
ME
Other
Enumeration date
06/06/2018
Last updated
02/06/2023
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