Mengestab Deri Gebremeskel in Stevenson Ranch - Medical
Mengestab Deri Gebremeskel - NPI 1053407106
Mengestab Deri Gebremeskel is a Medical in Stevenson Ranch, California. Mengestab Deri Gebremeskel practices all healthcare services and medical treatments related to Medical. The NPI Number for Mengestab Deri Gebremeskel is 1053407106. The last update date is 2007-07-08.
Mengestab Deri Gebremeskel's current location address is 25613 Chase St, Stevenson Ranch, California. You can contact this provider via phone number 3102683890 and fax number 3102684611. The mailing address for Mengestab Deri Gebremeskel is 25613 Chase St, Stevenson Ranch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mengestab Deri Gebremeskel |
|---|---|
| Address | 25613 Chase St, Stevenson Ranch, California |
| Phone Number | 3102683890 |
| Fax Number | 3102684611 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053407106 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25613 Chase St |
|---|---|
| City | Stevenson Ranch |
| State | California (CA) |
| Post Code | 913811667 |
| Phone Number | 3102683890 |
| Fax Number | 3102684611 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Mengestab Deri Gebremeskel's unique identification number?
The Mengestab Deri Gebremeskel has been assigned the NPI (National Provider Identifier) Number 1053407106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mengestab Deri Gebremeskel is physically located?
The Mengestab Deri Gebremeskel is situated at the following address: 25613 Chase St, Stevenson Ranch, CA 913811667.
What is the area of specialization for Mengestab Deri Gebremeskel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mengestab Deri Gebremeskel is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053407106 to Mengestab Deri Gebremeskel?
The Centers for Medicare & Medicaid Services originally issued the 1053407106 to Mengestab Deri Gebremeskel on 2006-10-05.
As of what date was the information regarding Mengestab Deri Gebremeskel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mengestab Deri Gebremeskel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.