Individual
DIMITRY DEMUR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
3540 WILSHIRE BLVD, #406, LOS ANGELES, CA 90010-2307
(213) 389-7188
(213) 389-7198
Mailing address
1345 N KINGSLEY DR, #116, LOS ANGELES, CA 90027-5763
(323) 496-6297
Taxonomy
Speciality
Code
Description
License number
State
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
Primary
TG456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TG456
PROVIDER
CA
Enumeration date
05/11/2006
Last updated
07/08/2007
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