NPI 1003063918

Ephraim W Aklilu

Practitioner Student in an Organized Health Care Education/Training Program San Francisco, CA

Practice location

Address: 58 W Portal Ave # 106, San Francisco, CA 94127-1304
Phone: (510) 914-6903
Mailing address: 58 West Portal Avenue # 106, San Francisco, CA 94127-2187

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in California →

Dentist

Dental Providers Taxonomy 122300000X Licence 55180 (CA)

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Registry record

NPI: 1003063918
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2008
Record last updated: 24 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.