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
Phone: (323) 582-9330
Fax: (323) 582-8903
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003906553 | NPPES |
| California | MEDICAID | 00G768544 | |
| California | Other | 05D0985404 |
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