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HAGOS KIFLAY TEKLAY NPI 1497379663


NPI Information

NPI: 1497379663
Provider Name: HAGOS KIFLAY TEKLAY
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
6991 BALBOA AVE RM 70
SAN DIEGO, CA
ZIP 92111
Phone: (858) 496-8232
Get Directions

Hagos Kiflay Teklay is a community health registered nurse in San Diego, CA. Hagos Kiflay Teklay NPI is 1497379663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6991 BALBOA AVE RM 70
SAN DIEGO, CA
ZIP 92111-447
Phone: (858) 496-8232
Fax: (858) 496-8234

The enumeration date for this NPI number is 6/3/2020 and was last updated on 6/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0809XRegistered NursePsychiatric/Mental Health, AdultRN95152885CALIFORNIANo
2163WC1500XRegistered NurseCommunity HealthPHN559278CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHN559278OTHERCALIFORNIATHE STATE OF CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.