Tefera, Eden Andeberhan

Tefera, Eden Andeberhan is an individual health care provider with primary practice located at 10301 Garvey Ave Ste 100 , El Monte CA 91733-2180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tefera, Eden Andeberhan can be contacted via phone (626) 448-0468.

Contact Information

Primary practice address
10301 Garvey Ave Ste 100 El Monte CA 91733-2180
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17074 California

Profile Details

NPI number 1073723284
LBN Legal business name Tefera, Eden Andeberhan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 11th, 2015 - about 9 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 1073723284 NPPES
California Other PA17074 PA LICENSE NO

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