EDWARD MENACHO

SAN BERNARDINO, CA
NPI1760036958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  57027)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NV  PA2900)
Enumeration Date2019-07-26
Last Update Date2025-06-30
Business Address
EDWARD MENACHO PA
1845 BUSINESS CENTER DR STE 102
SAN BERNARDINO, CA 92408-3447
Phone number: 909-957-9921
Mailing Address
EDWARD MENACHO PA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5900