Individual
ASSEFA EJIGU MEKONNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-7329
(213) 989-6100
Mailing address
PO BOX 4570, PALOS VERDES PENINSULA, CA 90274-9607
(424) 400-7748
(424) 400-7749
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95001041
CA
363LF0000X
Family Nurse Practitioner
95001041
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95001041
CA
Other
Enumeration date
10/29/2014
Last updated
12/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us