MLT KIDANE PHYSICIAN ASSISTANT CORPORATION
Organization (NPI-2)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1225471956- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12981 PERRIS BLVD SUITE #101, MORENO VALLEY, CA, 925534102
- Phone
- (951) 571-0632
- Fax
- (951) 571-4149
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: CA #PA20768