Mulugeta, Martha

Mulugeta, Martha is an individual health care provider with primary practice located at 1433 W Merced Ave 103, West Covina CA 91790-3402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mulugeta, Martha can be contacted via phone (626) 337-8000.

Contact Information

Primary practice address
1433 W Merced Ave 103 West Covina CA 91790-3402
Phone: (626) 337-8000
Fax: (626) 337-1145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9643 California

Profile Details

NPI number 1649470758
LBN Legal business name Mulugeta, Martha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Nov 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649470758 NPPES
California Other 9643 NP LICENSE

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