Tefera, Eden Andeberhan
Tefera, Eden Andeberhan is an individual health care provider with primary practice located at 10301 Garvey Ave Ste 100 , El Monte CA 91733-2180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tefera, Eden Andeberhan can be contacted via phone (626) 448-0468.Contact Information
Primary practice address
10301 Garvey Ave Ste 100
El Monte CA 91733-2180
Phone: (626) 448-0468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17074 | California |
Profile Details
| NPI number | 1073723284 |
|---|---|
| LBN Legal business name | Tefera, Eden Andeberhan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Feb 11th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073723284 | NPPES |
| California | Other | PA17074 | PA LICENSE NO |
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