Individual
ROM MENDAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
6850 SEPULVEDA BLVD STE 217, VAN NUYS, CA 91405-4466
(818) 901-7855
(818) 901-1915
Mailing address
6850 SEPULVEDA BLVD STE 217, VAN NUYS, CA 91405-4466
(818) 901-7855
(818) 901-1915
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95030481
CA
Other
Enumeration date
06/12/2024
Last updated
03/19/2026
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