DR. SIMON MENAKER MD
NPI 1821617895
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 10, 2020
127 S SAN VICENTE BLVD STE 6600, LOS ANGELES, CA 90048(704) 425-7561 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Simon Menaker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMON MENAKER MD (NPI 1821617895) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1821617895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SIMON MENAKERCredential: MD
Location Address127 S SAN VICENTE BLVD STE 6600Los Angeles, CA 90048-3311
Mailing Address831 E Worthington AveCharlotte, NC 28203-5351
Sole ProprietorYes
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1821617895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

127 S SAN VICENTE BLVD STE 6600, Los Angeles, CA 90048

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
127 S SAN VICENTE BLVD STE 6600
LOS ANGELES, CA 90048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821617895, enumerated as an "individual" on April 10, 2020.

The provider is located at 127 S SAN VICENTE BLVD STE 6600 LOS ANGELES, CA 90048 and the phone number is (704) 425-7561.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.