Individual provider · Type 1 NPI
Mengestab Deri Gebremeskel, PA-C
Medical Physician Assistant · Stevenson Ranch, CA
NPI number
1053407106
Active
Practice location
25613 Chase St
Stevenson Ranch, CA 91381-1667
Fax (310) 268-4611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1053407106
Mengestab Deri Gebremeskel, PA-C's National Provider Identifier is 1053407106, issued on Oct 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stevenson Ranch, CA. The record was last updated on Jul 8, 2007.