Individual
HEWAN MENGISTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3731 STOCKER ST STE 211, VIEW PARK, CA 90008-5118
(213) 909-0985
Mailing address
3731 STOCKER ST STE 211, VIEW PARK, CA 90008-5118
(213) 909-0985
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/18/2018
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