Healthcare Provider Details

I. General information

NPI: 1487083150
Provider Name (Legal Business Name): CHE INVESTMENT ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 WILLOW AVE
LA PUENTE CA
91746-1617
US

IV. Provider business mailing address

1025 WILLOW AVE
LA PUENTE CA
91746-1617
US

V. Phone/Fax

Practice location:
  • Phone: 626-960-6666
  • Fax:
Mailing address:
  • Phone: 626-960-6666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA40547
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA76805
License Number StateCA

VIII. Authorized Official

Name: DR. CARLOS MONTOYA SR.
Title or Position: PRESIDENT OF CORP
Credential: MD
Phone: 626-960-6666