IndividualActive
Dereje Tesfaye, CNMT
NPI 1255523338 · Nuclear Medicine Technology Radiologic Technologist · Los Angeles, CA
Provider details
- NPI number
- 1255523338
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine Technology Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- RHN2719 (CA)
Practice location
5715 Camerford Ave Apt 106
Los Angeles, CA 90038-3944
Phone: (213) 804-5904
Mailing address
5715 Camerford Ave Apt 106
Los Angeles, CA 90038-3944
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2007-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.