Individual provider · Type 1 NPI

Getnet T. Habtewold

Surgical Physician Assistant · Los Angeles, CA

NPI number 1043417587 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Call (310) 668-4506 Map

Fax (310) 763-8909

Mailing address

6087 Risingstar Dr
Corona, CA 92880-8871

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA16709 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1043417587

Getnet T. Habtewold's National Provider Identifier is 1043417587, issued on Jun 28, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.