Individual
AKLIL TADESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2618 S WESTERN AVE, LOS ANGELES, CA 90018-2627
(323) 730-9030
(323) 730-1806
Mailing address
2806 WEST BLVD APT 1, LOS ANGELES, CA 90016-3671
(323) 731-9040
(323) 731-9040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA16235
—
CA
Enumeration date
02/16/2007
Last updated
07/08/2007
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