Basic Information
| Provider Information | |||||||||
| NPI: | 1598019754 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JULIO A. MONTANO, MD, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2206 S 8TH AVE | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910065433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264849394 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 E BADILLO ST | ||||||||
| Address2: | |||||||||
| City: | COVINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917232115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6269159992 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2012 | ||||||||
| LastUpdateDate: | 11/08/2012 | ||||||||
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| AuthorizedOfficialLastName: | MONTANO | ||||||||
| AuthorizedOfficialFirstName: | JULIO | ||||||||
| AuthorizedOfficialMiddleName: | ALBERTO | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6264849394 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | A64835 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.