Individual
TSEGAW AYELE DEBARCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 PICO BLVD APT 104, SANTA MONICA, CA 90405-1833
(323) 247-0566
Mailing address
2501 PICO BLVD APT 104, SANTA MONICA, CA 90405-1833
(323) 247-0566
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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