Healthcare Provider Details

I. General information

NPI: 1265525786
Provider Name (Legal Business Name): ALEJANDRO ZEPEDA MONTES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11822 FLORAL DR
WHITTIER CA
90601-2900
US

IV. Provider business mailing address

11822 FLORAL DR
WHITTIER CA
90601-2900
US

V. Phone/Fax

Practice location:
  • Phone: 562-908-4355
  • Fax: 562-908-4363
Mailing address:
  • Phone: 562-908-4355
  • Fax: 562-908-4363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA35815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: