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NPI Code Detail

MEDICARE: EILEEN MONTERROSA

MEDICARE: EILEEN MONTERROSA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1396868949
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN MONTERROSA
Provider Business Mailing Address
First Line : 44105 CORAL DR
Second Line :
City : LANCASTER
State : CA
Zip : 93536-6823
Country : US
Telephone Number : 661-675-8932
Fax Number :
Provider Business Practice Location Address
First Line : 506 W JACKMAN ST
Second Line :
City : LANCASTER
State : CA
Zip : 93534-2531
Country : US
Telephone Number : 661-726-2850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 09/15/2009

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Directions to “ EILEEN MONTERROSA ” Practice Location

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