Individual provider · NPI-1

Igor Afremov

Respiratory Therapist, Registered, General Care · Los Angeles, CA

NPI number1306261979
StatusActive
Last updated in NPPESFeb 19, 2014

Details

NPI
1306261979
Entity type
Individual (NPI-1)
Name
Igor Afremov
Sex
Male
Sole proprietor
No
Enumeration date
Feb 19, 2014
Last updated
Feb 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2279G1100X Respiratory Therapist, Registered, General Care24502CAYes

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Phone 310-268-4640

Mailing address

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

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