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General NPI Number Information
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NPI Number | 1437487956
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Entity Type | Organization
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Legal Business Name | MONTES MEDICAL GROUP INC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 4545 E 3RD ST #102
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City | LOS ANGELES
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State | CA
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Zip | 90022-1656
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Country | US
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Telephone | 323-266-7888
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Fax | 323-266-7997
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Provider Business Mailing Address
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Address Line | 4545 E 3RD ST #102
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City | LOS ANGELES
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State | CA
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Zip | 90022-1656
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Country | US
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Telephone | 323-266-7888
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Fax | 323-266-7997
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN ZEPEDA MONTES
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Credential | M.D.
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Telephone | 562-205-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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