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Michael Seyoum Wendimu
Primary Care Nurse Practitioner in Los Angeles, California
NPI 1326700477

Michael Seyoum Wendimu is a Primary Care Nurse Practitioner based in Los Angeles, CA and is specialized in Primary Care. Michael Seyoum Wendimu practices in Los Angeles, CA. The NPI Number for Michael Seyoum Wendimu is 1326700477 and holds a License No. 95018710 (California).

The current practice location address for Michael Seyoum Wendimu is 3130 Sawtelle Blvd Apt # 206, Los Angeles, CA and can be reached out via phone at 310-628-5498.

Location: 3130 Sawtelle Blvd Apt # 206, Los Angeles, CA, 90066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326700477
Provider Name
Michael Seyoum Wendimu
Credential
Provider Entity Type
Individual
Gender
Male
Address
3130 Sawtelle Blvd Apt # 206, Los Angeles, CA, 90066
Phone Number
310-628-5498
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3130 Sawtelle Blvd Apt # 206
City
Los Angeles
State
California
Zip
90066
Phone Number
310-628-5498
Fax Number
person
Provider Business Mailing Address Details
Address
3130 Sawtelle Blvd Apt # 206
City
Los Angeles
State
California
Zip
90066
Phone Number
310-628-5498
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95018710 (California)
Definition
Definition to come...
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