Mlt Kidane Physician Assistant Corporation
Mlt Kidane Physician Assistant Corporation is a Medical Physician Assistant in Moreno Valley, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
12981 Perris Blvd Ste #101Moreno Valley, CA 92553-4102
Phone: (951) 571-0632
Fax: (951) 571-4149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA20768 (CA) |
|---|
Record details
| NPI number | 1225471956 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Meaza Kidane — President · (951) 571-0632 |
| Other names | Med-Hanit Alem Medical Clinic |
| NPI enumerated | April 11, 2013 |
| Last updated in NPPES | April 11, 2013 |
| Mailing address | 12981 Perris Blvd, Suite #101, Moreno Valley, CA 92553-4102 |
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