Individual provider · NPI-1

Mellat Abebe

Case Manager/Care Coordinator · Los Angeles, CA

NPI number1366040248
StatusActive
Last updated in NPPESMay 10, 2024

Details

NPI
1366040248
Entity type
Individual (NPI-1)
Name
Mellat Abebe
Sex
Female
Sole proprietor
No
Enumeration date
Oct 13, 2020
Certification date
May 1, 2024
Last updated
May 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–CAYes
171M00000X Case Manager/Care Coordinator––

Practice location

815 N El Centro Ave
Los Angeles, CA 90038-3805

Phone 626-649-9751

Mailing address

815 N El Centro Ave
Los Angeles, CA 90038-3805

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