MEDICARE: DR. JORGE FRANCISCO MONTOY M.D.

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
1	207Q00000X	Family Medicine Physician	G46427	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508816414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE FRANCISCO MONTOY M.D.

Provider Business Mailing Address
First Line	:	2514 JENSEN AVE
Second Line	:	#102
City	:	SANGER
State	:	CA
Zip	:	93657-2250
Country	:	US
Telephone Number	:	559-875-6970
Fax Number	:	559-875-1469

Provider Business Practice Location Address
First Line	:	2514 JENSEN AVE
Second Line	:	#102
City	:	SANGER
State	:	CA
Zip	:	93657-2250
Country	:	US
Telephone Number	:	559-875-6970
Fax Number	:	559-875-1469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	06/11/2009

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