MEDICARE: DR. ROMANY F. DEMIAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A52286	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A52286	OTHER	CA	CA STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1043232085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMANY F. DEMIAN M.D.

Provider Business Mailing Address
First Line	:	971 W 7TH ST # B
Second Line	:	SUITE # B
City	:	OXNARD
State	:	CA
Zip	:	93030-6757
Country	:	US
Telephone Number	:	805-483-2500
Fax Number	:	805-483-2525

Provider Business Practice Location Address
First Line	:	971 W 7TH ST # B
Second Line	:	SUITE # B
City	:	OXNARD
State	:	CA
Zip	:	93030-6757
Country	:	US
Telephone Number	:	805-483-2500
Fax Number	:	805-483-2525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/07/2023

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