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NPI Code Detail

MEDICARE: EDGAR MENENDEZ

MEDICARE: EDGAR MENENDEZ
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
1225200000XPhysical Therapy Assistant52869CA

General Provider Information

NPI Number : 1720945884
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDGAR MENENDEZ
Provider Business Mailing Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number : 714-483-1241
Fax Number :
Provider Business Practice Location Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number : 714-483-1241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ EDGAR MENENDEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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