Individual
MR. BEYENE TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-8700
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61994
CA
Other
Enumeration date
12/13/2022
Last updated
07/31/2024
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