Healthcare Provider Details

I. General information

NPI: 1285541532
Provider Name (Legal Business Name): WILLIAM M MONTANO II CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 E 15TH ST
LONG BEACH CA
90804-1432
US

IV. Provider business mailing address

2541 E 15TH ST
LONG BEACH CA
90804-1432
US

V. Phone/Fax

Practice location:
  • Phone: 310-951-9026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number69894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: