Provider Demographics
NPI:1295847929
Name:LIMANSKY, RAYMOND PIERRE (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:PIERRE
Last Name:LIMANSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 W MERCED AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3402
Mailing Address - Country:US
Mailing Address - Phone:626-960-7777
Mailing Address - Fax:626-338-3975
Practice Address - Street 1:1433 W MERCED AVE STE 220
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3402
Practice Address - Country:US
Practice Address - Phone:626-960-7777
Practice Address - Fax:626-338-3975
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32735174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A322351OtherMEDICAL
CAA32735Medicare ID - Type Unspecified
CAA84388Medicare UPIN