Individual provider · Type 1 NPI

Luciano Demianczuk

Student in an Organized Health Care Education/Training Program · Northridge, CA

NPI number 1376100560 Active

Practice location

18111 Nordhoff St
Northridge, CA 91330-0001

Call (818) 667-1200 Map

Mailing address

15149 Victory Blvd Apt 3
Van Nuys, CA 91411-1736

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376100560

Luciano Demianczuk's National Provider Identifier is 1376100560, issued on May 22, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northridge, CA. The record was last updated on May 22, 2019.