Mendenhall, Kimberly Casiano

Mendenhall, Kimberly Casiano is an individual health care provider with primary practice located at 757 Westwood Plz , Los Angeles CA 90095-8358. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mendenhall, Kimberly Casiano can be contacted via phone (310) 267-7540.

Contact Information

Primary practice address
757 Westwood Plz Los Angeles CA 90095-8358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 95022072 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95022072 California

Profile Details

NPI number 1114646759
LBN Legal business name Mendenhall, Kimberly Casiano
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2022
Last updated Feb 21st, 2023 - 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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