Individual provider · Type 1 NPI

Tizita Tadesse Tekletsadik

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

NPI number 1386576932 Active

Practice location

554 Grand Ave
Oakland, CA 94610-3515

Call (510) 444-1671 Map

Fax (510) 373-2495

Mailing address

1919 Ygnacio Valley Rd Apt 52
Walnut Creek, CA 94598-3292

Specialties and licenses

TaxonomyCodeLicense
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 1386576932

Tizita Tadesse Tekletsadik's National Provider Identifier is 1386576932, issued on May 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on May 29, 2026.