EDGARDO MENVIELLE

PASADENA, CA
NPI1053405985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA  C43180)
Additional Taxonomies2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry
(Licence: CA  C43180)
Enumeration Date2006-10-03
Last Update Date2021-01-25
Business Address
EDGARDO MENVIELLE
200 E DEL MAR BLVD STE 126
PASADENA, CA 91105-2551
Phone number: 626-569-8074
Mailing Address
EDGARDO MENVIELLE
200 E DEL MAR BLVD
PASADENA, CA 91105-2544
Phone number: 626-569-8074