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General NPI Number Information
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NPI Number | 1043177132
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Entity Type | Individual
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Provider Name | YVONNE LIZETTE MONTANO
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 450 4TH AVE STE 215
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City | CHULA VISTA
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State | CA
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Zip | 91910-4428
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Country | US
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Telephone | 619-425-3840
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Fax |
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Provider Business Mailing Address
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Address Line | 6884 E CAMINO DEL DORADO
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City | TUCSON
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State | AZ
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Zip | 85715-4750
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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