Marilyn Mennig, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

349926 Issued in CA

Practice address

202 W la Habra Blvd
La Habra, CA 90631-5404

Phone

(562) 267-7000

Fax

(562) 267-1323

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043222458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "SUITE 1100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-483-2620",
            "fax_number": "213-483-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315404",
            "telephone_number": "562-267-7000",
            "fax_number": "562-267-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNIG",
        "first_name": "MARILYN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "349926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349926",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Melgoza
• Vladimir Melkumyan
• Adriana Jennifer Mendez, LCSW
• Andrew Robert Mendez
• Jasmine Mendoza
• Wendy Lee Margaret Merritt
• John Miceli Jr., D.C.
• Michael C McClane DDS a Professional Corporation
• Kimberly Marianna Michel, MS PSS CREDENTIAL
• Scott Middleton, M.D.

• Registered Nurse in La Habra, CA
• Providers in La Habra, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.