Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Athenna Menjivar

Individual provider Physician Assistant · NPI 1598545352

Athenna Menjivar is a Physician Assistant in San Pedro, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

593 W 6th St
San Pedro, CA 90731-2521
Phone: (310) 547-0202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68361 (CA)

Record details

NPI number1598545352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2023
Last updated in NPPESOctober 9, 2026
Certification dateOctober 9, 2026

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