Individual provider · Type 1 NPI
Beniyam Degaga
Driver · Buena Park, CA
NPI number
1548021546
Active
Practice location
6881 Stanton Ave
Buena Park, CA 90621-3648
Mailing address
8111 Stanford Ave Spc 134
Garden Grove, CA 92841-4363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | F1371238 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Buena Park
About NPI 1548021546
Beniyam Degaga's National Provider Identifier is 1548021546, issued on Jan 17, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Buena Park, CA. The record was last updated on Jan 17, 2024.