Individual provider · Type 1 NPI

Athenna Menjivar

Physician Assistant · San Pedro, CA

NPI number 1598545352 Active

Practice location

593 W 6th St
San Pedro, CA 90731-2521

Call (310) 547-0202 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA68361 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1598545352

Athenna Menjivar's National Provider Identifier is 1598545352, issued on Sep 29, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Pedro, CA. The record was last updated on Oct 9, 2026.