Montano, Jose Nivardo

Montano, Jose Nivardo is an individual health care provider with primary practice located at 3617 East M L King Jr Blvd , Lynwood CA 90262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Montano, Jose Nivardo can be contacted via phone (310) 638-1171.

Contact Information

Primary practice address
3617 East M L King Jr Blvd Lynwood CA 90262
Phone: (310) 638-1171
Fax: (310) 638-3715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A33055 California

Profile Details

NPI number 1659343663
LBN Legal business name Montano, Jose Nivardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659343663 NPPES
California MEDICAID 00A330550

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