Menvielle, Edgardo

Menvielle, Edgardo is an sole proprietor health care provider with primary practice located at 200 E Del Mar Blvd Ste 126 , Pasadena CA 91105-2551. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Menvielle, Edgardo can be contacted via phone (626) 569-8074.

Contact Information

Primary practice address
200 E Del Mar Blvd Ste 126 Pasadena CA 91105-2551
Phone: (626) 569-8074
Fax: (626) 423-6678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X C43180 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C43180 California

Profile Details

NPI number 1053405985
LBN Legal business name Menvielle, Edgardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jan 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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