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NPI Code Detail

MEDICARE: ANA R MONTENEGRO

MEDICARE: ANA R MONTENEGRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1215068390
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA R MONTENEGRO
Provider Business Mailing Address
First Line : 15339 SATICOY ST.
Second Line :
City : VAN NUYS
State : CA
Zip : 91401
Country : US
Telephone Number : 818-876-2072
Fax Number :
Provider Business Practice Location Address
First Line : 15339 SATICOY ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3345
Country : US
Telephone Number : 818-267-2743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/31/2011

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Directions to “ ANA R MONTENEGRO ” Practice Location

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