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General NPI Number Information
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NPI Number | 1679418461
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Entity Type | Organization
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Legal Business Name | MONTAGE RECOVERY CA, LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 43875 WASHINGTON ST
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City | PALM DESERT
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State | CA
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Zip | 92211-8249
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Country | US
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Telephone | 818-371-4532
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Fax | 805-830-1565
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Provider Business Mailing Address
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Address Line | 203 S ORANGE DR
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City | LOS ANGELES
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State | CA
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Zip | 90036-3010
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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 | VP
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Name | JOANN ZUNIGA
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Credential |
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Telephone | 805-437-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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