Most Relevant Information
Provider Data
| NPI Number: | 1003310830 |
| Provider Name: | SAMRAWIT ABRAHA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2018 |
| Last Updated: | 09/07/2018 |
Provider Practice Location
757 WESTWOOD PLZ
LOS ANGELES
CA
90095
Practice Location Phone/Fax
| Phone: | 3102676629 |
| Fax: |
Provider Mailing Location
757 WESTWOOD PLZ
LOS ANGELES
CA
900958358
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |