Individual
DR. TEFERI YILMA MITIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-3868
(313) 745-4399
Mailing address
333 CORPORATE DR, STE 102, LADERA RANCH, CA 92694-2113
(714) 456-3868
(313) 745-4399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101657
MI
207R00000X
Internal Medicine Physician
A92724
CA
207RC0000X
Cardiovascular Disease Physician
Primary
4301101657
MI
Other
Enumeration date
01/09/2007
Last updated
12/08/2021
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