Organization
ELSA A TEKLE MD INC
Active
Organization
ELSA A TEKLE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSA A TEKLE M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
2701 S BRISTOL ST, SANTA ANA, CA 92704-6201
(714) 754-5454
(714) 647-1245
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A78066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A780660
—
CA
Enumeration date
07/14/2006
Last updated
07/24/2013
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