Individual
DEREJE BENYAM ASSEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1774 ZONAL AVE BLDG C, LOS ANGELES, CA 90033-1064
(310) 221-6336
Mailing address
1774 ZONAL AVE BLDG C, LOS ANGELES, CA 90033-1064
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
09/16/2025
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