Individual
MEDIGET TESHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL PLAZA SUITE 310, LOS ANGELES, CA 90095-4009
(310) 825-2144
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P7360
TX
2086X0206X
Surgical Oncology Physician
Primary
A101388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331808101
—
TX
Enumeration date
10/04/2007
Last updated
01/16/2024
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