Basic Information
Provider Information
NPI: 1326457540
EntityType: 2
ReplacementNPI:  
OrganizationName: JULIO A MONTANO, M.D.,INC.
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 2206 S 8TH AVE
Address2:  
City: ARCADIA
State: CA
PostalCode: 910065433
CountryCode: US
TelephoneNumber: 6264849394
FaxNumber:  
Practice Location
Address1: 234 E BADILLO ST
Address2:  
City: COVINA
State: CA
PostalCode: 917232115
CountryCode: US
TelephoneNumber: 6264849394
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/13/2014
LastUpdateDate: 08/13/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MONTANO
AuthorizedOfficialFirstName: JULIO ALBERTO
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT&CEO
AuthorizedOfficialTelephone: 6264849394
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261Q00000X  Y Ambulatory Health Care FacilitiesClinic/Center 

No ID Information.


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