Individual provider · Type 1 NPI

Ephraim W. Aklilu

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1003063918 Active

Practice location

58 W Portal Ave # 106
San Francisco, CA 94127-1304

Call (510) 914-6903 Map

Mailing address

58 West Portal Avenue # 106
San Francisco, CA 94127-2187

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X55180 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003063918

Ephraim W. Aklilu's National Provider Identifier is 1003063918, issued on Aug 21, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Jan 24, 2012.