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Search › California › 225400000X

Kidus Degu

NPI 1336981141 · on the registry since 2024 · sole proprietor

Practice

Address
1260 Morena Blvd Ste 100
San Diego, CA 92110
Phone
(619) 398-0355
Organisation at this address
Impact
Community Research Foundation
Community Research Foundation Inc
Community Research Foundation Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
232

Additional practice sites

  • 3132 Jefferson St, San Diego, CA

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
171M00000X
373H00000X
Sex
Male
Record last updated
2025-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California