Tesfay, Zelalem

Tesfay, Zelalem is an sole proprietor health care provider with primary practice located at 7126 Pacific Blvd Ste B, Huntington Park CA 90255-4720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tesfay, Zelalem can be contacted via phone (323) 582-9330.

Contact Information

Primary practice address
7126 Pacific Blvd Ste B Huntington Park CA 90255-4720
Fax: (323) 582-8903
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G76854 California

Profile Details

NPI number 1003906553
LBN Legal business name Tesfay, Zelalem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jun 4th, 2008 - about 16 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 1003906553 NPPES
California MEDICAID 00G768544
California Other 05D0985404

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