Healthcare Provider Details

I. General information

NPI: 1225961477
Provider Name (Legal Business Name): ADRIANA MONTOYA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S BARRINGTON PL
LOS ANGELES CA
90049-3316
US

IV. Provider business mailing address

2910 PATRICIA AVE
LOS ANGELES CA
90064-4404
US

V. Phone/Fax

Practice location:
  • Phone: 310-889-2607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number814776
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: