Individual provider · Type 1 NPI

Kidus Degu

Rehabilitation Practitioner · San Diego, CA

NPI number 1336981141 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850

Call (619) 398-0355 Map

Other practice locations

3132 Jefferson St, San Diego, CA 92110-4421 · (619) 683-3100

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Day Training/Habilitation Specialist	373H00000X	None listed
Rehabilitation Practitioner Primary	225400000X	None 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 1336981141

Kidus Degu's National Provider Identifier is 1336981141, issued on Jun 11, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Aug 5, 2025.