Individual provider · Type 1 NPI
Bekele T. Haimanot, PA-C
Medical Physician Assistant · Riverside, CA
NPI number
1811207632
Active
Practice location
9528 Los Coches Court
Riverside, CA 92508
Mailing address
9528 Los Coches Ct
Riverside, CA 92508-6814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA21O33 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1811207632
Bekele T. Haimanot, PA-C's National Provider Identifier is 1811207632, issued on Oct 14, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Riverside, CA. The record was last updated on Oct 14, 2010.