Tesfaye, Tsigereda

Tesfaye, Tsigereda is an individual health care provider with primary practice located at 1095 Irvine Blvd , Tustin CA 92780-3526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tesfaye, Tsigereda can be contacted via phone (714) 505-7110.

Contact Information

Primary practice address
1095 Irvine Blvd Tustin CA 92780-3526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95002245 California

Profile Details

NPI number 1386031086
LBN Legal business name Tesfaye, Tsigereda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Mar 16th, 2023 - about last year

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 1386031086 NPPES
California MEDICAID 1386031086

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