Edgardo Menvielle

NPI 1053405985 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1053405985
Gender Male
Enumeration Date 10/03/2006
Last Updated 09/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3801 W TEMPLE AVE
BLDG. 46
POMONA CA, 91768-2557, US
Phone (909) 869-2711
Fax (909) 869-4941
Business Location
3801 W TEMPLE AVE
BLDG. 46
POMONA CA, 91768-2557, US
Phone (909) 869-2711
Fax (909) 869-4941
Toxanomy
Taxonomy Code 2084P0804X
License State California
License Number C43180
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According to our database, Edgardo Menvielle NPI is 1053405985, taxonomy code is 2084P0804X and license number is C43180, license state is located at California. Edgardo Menvielle physically located at 3801 W Temple Ave, Pomona CA, 91768-2557. NPI Number Edgardo Menvielle has the Individual type.

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1053405985 NPI number is provided on an as is basis without warranty of any kind. 1053405985 is maintained by the National Plan & Provider Enumeration System. The contents of Edgardo Menvielle are for informational purposes only.