MEDICARE: ESUYAWKAL TAMERU TIRUNEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95016151	CA

General Provider Information

NPI Number	:	1417547043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESUYAWKAL TAMERU TIRUNEH

Provider Business Mailing Address
First Line	:	312 W FLORAL DR
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-6437
Country	:	US
Telephone Number	:	323-416-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-5144
Country	:	US
Telephone Number	:	323-750-2083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2021
Last Update Date	:	01/18/2021

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