Individual provider · Type 1 NPI

Keisuke Menjo, NP-C

Gerontology Nurse Practitioner · Cerritos, CA

NPI number 1386127355 Active

Practice location

12898 Towne Center Dr
Cerritos, CA 90703-8546

Fax (562) 741-4479

Mailing address

12900 Park Plaza Dr # 3150
Cerritos, CA 90703-9329

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAG08180103 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1386127355

Keisuke Menjo, NP-C's National Provider Identifier is 1386127355, issued on Sep 14, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cerritos, CA. The record was last updated on Sep 27, 2019.