Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DMITRY G AMINOV
Gender: MALE
NPI: 1083800296
![]() |
Last Updated: | 2015-11-05 | ||
Certification Date: |
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1083800296 | ||||||||
Enumeration Date | 2007-09-20 | ||||||||
NPI Type | 1 - Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address |
2780 TAPO CANYON RD A1B
SIMI VALLEY, CA 93063-6837 United States Phone: 805-520-1711 | Fax: 805-520-1511 View Map ![]() |
||||||||
Primary Practice Address |
2780 TAPO CANYON RD
A-1B
SIMI VALLEY, CA 93063-6840 United States Phone: 805-520-1711 | Fax: 805-520-1511 View Map ![]() |
||||||||
Health Information Exchange |
|
||||||||
Other Identifiers |
|
||||||||
Taxonomy |
|