Individual
MR. JOSE ISRAEL MENENDEZ INTERIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 530-1151
Mailing address
PO BOX 4570, PALOS VERDES ESTATES, CA 90274-9607
(310) 873-7827
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95048984
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020008
CA
Other
Enumeration date
11/02/2017
Last updated
11/17/2022
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