Healthcare Provider Details

I. General information

NPI: 1366364184
Provider Name (Legal Business Name): MYAH MONTOYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E SAN YSIDRO BLVD APT 1844
SAN YSIDRO CA
92173-3150
US

IV. Provider business mailing address

511 E SAN YSIDRO BLVD APT 1844
SAN YSIDRO CA
92173-3150
US

V. Phone/Fax

Practice location:
  • Phone: 619-755-2005
  • Fax:
Mailing address:
  • Phone: 619-755-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: