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NPI Code Detail

MEDICARE: JOHANNA S MONTESINOS

MEDICARE: JOHANNA S MONTESINOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPCC16045CA
2106H00000XMarriage & Family TherapistAMFT145018CA

General Provider Information

NPI Number : 1114778453
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA S MONTESINOS
Provider Business Mailing Address
First Line : 3435 WILSHIRE BLVD STE 1840
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-2004
Country : US
Telephone Number : 714-697-7729
Fax Number :
Provider Business Practice Location Address
First Line : 3435 WILSHIRE BLVD STE 1840
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-2004
Country : US
Telephone Number : 714-697-7729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 04/04/2024

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Directions to “ JOHANNA S MONTESINOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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