Organization
MLT KIDANE PHYSICIAN ASSISTANT CORPORATION
Active
Organization
MLT KIDANE PHYSICIAN ASSISTANT CORPORATION
Active
Other names
Med-Hanit Alem Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEAZA Z. KIDANE PA (PRESIDENT)
(951) 571-0632
Entity
Organization
Contact information
Practice address
12981 PERRIS BLVD, SUITE #101, MORENO VALLEY, CA 92553-4102
(951) 571-0632
(951) 571-4149
Mailing address
12981 PERRIS BLVD, SUITE #101, MORENO VALLEY, CA 92553-4102
(951) 571-0632
(951) 571-4149
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20768
CA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up