Individual
JONATHAN MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
226 N KENMORE AVE, LOS ANGELES, CA 90004-6218
(323) 485-0765
Mailing address
226 N KENMORE AVE, LOS ANGELES, CA 90004-6218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
747779
CA
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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