SearchCaliforniaDriver

Dereje Areda

NPI 1568926236 · on the registry since 2019 · sole proprietor

Practice

Address
360 Meridian Ave Apt 211
San Jose, CA 95126
Phone
(408) 449-8182
Clinicians at this address
3

Registry record

Primary taxonomy
Driver
172A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-28

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