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Organization
LAWRENCE R MENENDEZ M.D., A MEDICAL CORPORATION
Active
Organization
LAWRENCE R MENENDEZ M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE R MENENDEZ (DIRECTOR)
(323) 442-5830
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, STE 2000, LOS ANGELES, CA 90033-5310
(323) 442-5830
Mailing address
1520 SAN PABLO ST, STE 2000, LOS ANGELES, CA 90033-5310
(323) 442-5830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G46314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G463140
BLUE SHIELD
CA
Enumeration date
06/18/2008
Last updated
06/18/2008
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