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NPI Code Detail

MEDICARE: DR. CARLOS XAVIER MONTANO M.D.

MEDICARE: DR. CARLOS XAVIER MONTANO 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
1174400000XSpecialistA41718CA

General Provider Information

NPI Number : 1669418794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS XAVIER MONTANO M.D.
Provider Business Mailing Address
First Line : 1545 NUTMEG PLACE
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-2525
Country : US
Telephone Number : 714-617-5956
Fax Number : 714-617-5955
Provider Business Practice Location Address
First Line : 1545 NUTMEG PLACE
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-2525
Country : US
Telephone Number : 714-617-5956
Fax Number : 714-617-5955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 04/24/2020

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Directions to “ DR. CARLOS XAVIER MONTANO M.D.” Practice Location

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