Healthcare Provider Details

I. General information

NPI: 1851550404
Provider Name (Legal Business Name): WINSTON F MONTERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 10/01/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2362 N OXNARD BLVD STE 102
OXNARD CA
93036-2053
US

IV. Provider business mailing address

2362 N OXNARD BLVD STE 102
OXNARD CA
93036-2053
US

V. Phone/Fax

Practice location:
  • Phone: 409-877-3191
  • Fax:
Mailing address:
  • Phone: 805-946-1634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA122675
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMDR-5479
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: