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NPI 1518486125

NPI 1518486125 : PATRICIA R. MONTOYA NP : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1518486125
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA R. MONTOYA NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2017
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    Last Update Date     |    11/03/2025
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Provider Practice Location Address
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    Address Line         |    1983 MARENGO ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90033-1370
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    Country              |    US
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    Telephone            |    310-433-1914
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1000 W CARSON ST 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90502-2004
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    Country              |    US
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    Telephone            |    310-433-1914
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    95006349
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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    License Number       |    95006349
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    95006349
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    License Number State |    CA
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