SERKALEM LEYIKUN MULUGETA NPI 1740783315

NPI Information

NPI: 1740783315
Provider Name: SERKALEM LEYIKUN MULUGETA
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
1999 HARRISON ST
OAKLAND, CA
ZIP 94612
Phone: (916) 597-7166
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Serkalem Leyikun Mulugeta is a technician other in Oakland, CA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Serkalem Leyikun Mulugeta NPI is 1740783315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1999 HARRISON ST
OAKLAND, CA
ZIP 94612-520
Phone: (916) 597-7166

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247200000X	Technician, Other			CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	955659	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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