Provider Demographics
NPI:1164319240
Name:SHNEEZAI, MEENA
Entity type:Individual
Prefix:
First Name:MEENA
Middle Name:
Last Name:SHNEEZAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 DRAFT WAY
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-7496
Mailing Address - Country:US
Mailing Address - Phone:818-914-1529
Mailing Address - Fax:818-914-1529
Practice Address - Street 1:387 DRAFT WAY
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-7496
Practice Address - Country:US
Practice Address - Phone:818-914-1529
Practice Address - Fax:818-914-1529
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health