Individual provider · Type 1 NPI

Aynalem Tadesse

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1063604775 Active

Practice location

238 S Rampart Blvd
Los Angeles, CA 90057-1404

Mailing address

4555 W. King Blvd #125
Los Angeles, CA 90016

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1063604775

Aynalem Tadesse's National Provider Identifier is 1063604775, issued on Aug 16, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 16, 2007.