Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | G35182 | CA |
Y | 111NI0900X | Internist | G35182 | CA |
N | 207RA0401X | Internist - Addiction Medicine | G35182 | CA |
NPI | 1548353055 |
---|---|
Provider Name | Dr. Juan Z Montes |
First Address | Whittier, CA 90601-2900 |
Second Address | Whittier, CA 90601-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 07/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89596 | (02) | CA |