Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dereje Tesfaye, CNMT

Individual provider Nuclear Medicine Technology Radiologic Technologist · NPI 1255523338

Dereje Tesfaye, CNMT is a Nuclear Medicine Technology Radiologic Technologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

5715 Camerford Ave Apt 106
Los Angeles, CA 90038-3944
Phone: (213) 804-5904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Medicine Technology Radiologic Technologist (primary) Taxonomy 2471N0900X · Licence RHN2719 (CA)

Record details

NPI number1255523338
Entity typeIndividual (Type 1)
GenderMale
Credentials CNMT
Sole proprietorYes
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007

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