Ivan Federico Montenegro
Counseling Psychologist
4401 Crenshaw Blvd Ste 215
Los Angeles
, California 90043-1200
Ivan Federico Montenegro
Counseling Psychologist
4401 Crenshaw Blvd Ste 215
Los Angeles
, California 90043-1200
(323) 291-7100
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Ivan Federico Montenegro
- 4401 Crenshaw Blvd Ste 215
- Los Angeles, CA
- Zip : 90043-1200
- Phone : (323) 291-7100
Second Address
- Ivan Federico Montenegro
- 4401 Crenshaw Blvd Ste 215
- Los Angeles, CA
- Zip : 90043-1200
- Phone : (323) 291-7100
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Is Ivan Federico Montenegro a sole practitioner?
Is Ivan Federico Montenegro accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist |
National Provider Identifier
| NPI | 1083251987 |
|---|---|
| Provider Name | Ivan Federico Montenegro |
| First Address | Los Angeles, CA 90043-1200 |
| Second Address | Los Angeles, CA 90043-1200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/12/2019 |
| Last Update Date | 10/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05-0617904 | PRIVATE INSURANCE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.