Montgomery, Victoria Ilene

Montgomery, Victoria Ilene is an individual health care provider with primary practice located at 1874 Business Center Dr , San Bernardino CA 92408-3457. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Montgomery, Victoria Ilene can be contacted via phone (909) 386-0523.

Contact Information

Primary practice address
1874 Business Center Dr San Bernardino CA 92408-3457
Phone: (909) 386-0523
Fax: (909) 386-0529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AII055360418 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 061298-II California

Profile Details

NPI number 1770795304
LBN Legal business name Montgomery, Victoria Ilene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Feb 7th, 2024 - about 10 months 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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