MR. Mengestab Deri Gebremeskel, PA-C
NPI #1053407106 in Stevenson Ranch, California
Provider Information
- NPI Number
- 1053407106
- Entity Type
- Individual
- Name
- MR. Mengestab Deri Gebremeskel, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 25613 CHASE ST
- City
- Stevenson Ranch
- State
- California
- ZIP Code
- 91381-1667
- Phone
- (310) 268-3890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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