Moncayo, Max Paul

Moncayo, Max Paul is an sole proprietor health care provider with primary practice located at 881 Alma Real Dr Ste T4 , Pacific Palisades CA 90272-3743. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Moncayo, Max Paul can be contacted via phone (310) 459-0014.

Contact Information

Primary practice address
881 Alma Real Dr Ste T4 Pacific Palisades CA 90272-3743
Phone: (310) 459-0014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DD5229 New Mexico
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 53926 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 00205024 Colorado

Profile Details

NPI number 1588636310
LBN Legal business name Moncayo, Max Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Apr 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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