Individual
MR. DIMITRI PETER YAGDJIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
16122 COVELLO ST, VAN NUYS, CA 91406-2910
(818) 988-5414
(818) 988-5415
Mailing address
8629 KELVIN AVE, WINNETKA, CA 91306-1254
(818) 321-6829
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO02371
CA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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