Healthcare Provider Details

I. General information

NPI: 1154245751
Provider Name (Legal Business Name): VERONICA MARYBEL MENENDEZ PUPIL PERSONNEL SERV
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 FAIRVIEW RD
COSTA MESA CA
92626-5537
US

IV. Provider business mailing address

9698 PETTSWOOD DR
HUNTINGTON BEACH CA
92646-4122
US

V. Phone/Fax

Practice location:
  • Phone: 714-424-8729
  • Fax:
Mailing address:
  • Phone: 714-424-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: