Healthcare Provider Details

I. General information

NPI: 1609713627
Provider Name (Legal Business Name): MICHAEL MONTYGIERD-LOYBA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 PAIGE ST
LOS ANGELES CA
90031-1436
US

IV. Provider business mailing address

4007 PAIGE ST
LOS ANGELES CA
90031-1436
US

V. Phone/Fax

Practice location:
  • Phone: 626-734-2748
  • Fax: 818-926-2914
Mailing address:
  • Phone: 626-734-2748
  • Fax: 818-926-2914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: