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DEMIJON LINGAD DICEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
215 S LA CIENEGA BLVD STE 207, BEVERLY HILLS, CA 90211-3322
(310) 272-4395
Mailing address
215 S LA CIENEGA BLVD STE 207, BEVERLY HILLS, CA 90211-3322
(310) 272-4395

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60429
CA

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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