Individual
MR. BELAYNEH ADDIS SALILEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
438 N WHITE RD, SAN JOSE, CA 95127-1439
(669) 265-9112
Mailing address
1922 THE ALAMEDA STE 316, SAN JOSE, CA 95126-1461
(408) 261-7777
(408) 642-6052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508083205
—
CA
Enumeration date
01/13/2023
Last updated
06/28/2025
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