| Mend & Restore LLC | |
|
11026 Ventura Blvd Ste 17 Studio City CA 91604-4635 | |
| (818) 205-7231 | |
| Not Available |
| Full Name | Mend & Restore LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 11026 Ventura Blvd Ste 17, Studio City, California |
| Authorized Official Name and Position | Anna M Cherubini (OWNER/CEO) |
| Authorized Official Contact | 8182057231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend & Restore LLC 11026 Ventura Blvd Ste 17 Studio City CA 91604-4635 Ph: (818) 205-7231 | Mend & Restore LLC 11026 Ventura Blvd Ste 17 Studio City CA 91604-4635 Ph: (818) 205-7231 |
| NPI Number | 1760371363 |
|---|---|
| Provider Enumeration Date | 06/30/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Medicare PECOS PAC ID | 9032627252 |
|---|---|
| Medicare Enrollment ID | O20250731000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760371363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Karmen a Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700455714 PECOS PAC ID: 8820487465 Enrollment ID: I20211119000891 |
| Provider Name | Jeremy Frend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831199769 PECOS PAC ID: 0840796587 Enrollment ID: I20251001004617 |
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