Provider Demographics
NPI:1013739127
Name:DEMSHKI, RICHARD C
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:DEMSHKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25939 SADDLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2318
Mailing Address - Country:US
Mailing Address - Phone:310-467-6571
Mailing Address - Fax:
Practice Address - Street 1:25939 SADDLE VIEW DR
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2318
Practice Address - Country:US
Practice Address - Phone:310-467-6571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion