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NPI Code Detail

MEDICARE: FLAVIA MACMENAMIN

MEDICARE: FLAVIA MACMENAMIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist146051CA

General Provider Information

NPI Number : 1245182732
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLAVIA MACMENAMIN
Provider Business Mailing Address
First Line : 1129 CEDAR ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-2509
Country : US
Telephone Number : 310-430-5064
Fax Number :
Provider Business Practice Location Address
First Line : 1129 CEDAR ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-2509
Country : US
Telephone Number : 310-430-5064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ FLAVIA MACMENAMIN ” Practice Location

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