Individual
KEVIN MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9808 VENICE BLVD, CULVER CITY, CA 90232-2732
(310) 945-3350
Mailing address
9808 VENICE BLVD, CULVER CITY, CA 90232-2732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
09/18/2025
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