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General NPI Number Information
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NPI Number | 1982873162
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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 | 02/21/2008
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 11822 FLORAL DR
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City | WHITTIER
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State | CA
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Zip | 90601-2900
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Country | US
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Telephone | 562-908-4355
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Fax | 156-290-8436
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Provider Business Mailing Address
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Address Line | 11822 FLORAL DR
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City | WHITTIER
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State | CA
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Zip | 90601-2900
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Country | US
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Telephone | 562-908-4355
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Fax | 156-290-8436
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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 | 310-419-4354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A64056
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | G35182
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A35815
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G35182
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License Number State | CA
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