Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tali Menachem, PA-C

Individual provider Physician Assistant · NPI 1700994449

Mrs. Tali Menachem, PA-C is a Physician Assistant in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2004, 22 years ago. Licensed in California.

Years since qualifying
22
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11821 Goshen Ave #4
Los Angeles, CA 90049-6344
Phone: (323) 369-6779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 17510 (CA)

Record details

NPI number1700994449
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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