Individual provider · Type 1 NPI
Diana Estela Menjivar
Gerontology Nurse Practitioner · Los Angeles, CA
NPI number
1306565320
Active
Practice location
1117 N Bonnie Beach Pl
Los Angeles, CA 90063-1243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | NP95013855 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1306565320
Diana Estela Menjivar's National Provider Identifier is 1306565320, issued on Aug 23, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 13, 2022.