# HAGOS KIFLAY TEKLAY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497379663
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | PHN559278 | CA | Yes |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | RN95152885 | CA | — |

## Other

- **Enumeration date:** 06/03/2020
- **Last updated:** 06/03/2020