ASSEFA EJIGU MEKONNEN

LOS ANGELES, CA
NPI1942605126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95001041)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95001041)
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95001041)
Enumeration Date2014-10-29
Last Update Date2023-12-01
Business Address
ASSEFA EJIGU MEKONNEN PMHNP
1711 W TEMPLE ST
LOS ANGELES, CA 90026-7329
Phone number: 213-989-6100
Mailing Address
ASSEFA EJIGU MEKONNEN PMHNP
PO BOX 4570
PALOS VERDES PENINSULA, CA 90274-9607
Phone number: 424-400-7748