Provider Demographics
NPI:1043232085
Name:DEMIAN, ROMANY F (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMANY
Middle Name:F
Last Name:DEMIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:971 W 7TH ST # B
Mailing Address - Street 2:SUITE # B
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6757
Mailing Address - Country:US
Mailing Address - Phone:805-483-2500
Mailing Address - Fax:805-483-2525
Practice Address - Street 1:971 W 7TH ST # B
Practice Address - Street 2:SUITE # B
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6757
Practice Address - Country:US
Practice Address - Phone:805-483-2500
Practice Address - Fax:805-483-2525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA52286207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA52286OtherCA STATE MEDICAL LICENSE
CABD3844152OtherDEA
CAA52286OtherCA STATE MEDICAL LICENSE