Mekonnen, Assefa Ejigu

Mekonnen, Assefa Ejigu is an sole proprietor health care provider with primary practice located at 1711 W Temple St , Los Angeles CA 90026-7329. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mekonnen, Assefa Ejigu can be contacted via phone (213) 989-6100.

Contact Information

Primary practice address
1711 W Temple St Los Angeles CA 90026-7329
Phone: (213) 989-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95001041 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95001041 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95001041 California

Profile Details

NPI number 1942605126
LBN Legal business name Mekonnen, Assefa Ejigu
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2014
Last updated Dec 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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