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Organization
ZELALEM TESDAY MD A MEDICAL CORPORATION
Active
Organization
ZELALEM TESDAY MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZELALEM TESFAY MD (OWNER)
(323) 582-9330
Entity
Organization
Contact information
Practice address
3111 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5829
(323) 582-9330
(323) 582-8903
Mailing address
3111 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5829
(323) 582-9330
(323) 582-8903
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G76854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G768544
—
CA
01
—
05D0985404
CLIA #
CA
Enumeration date
10/13/2006
Last updated
09/09/2009
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