MEDICARE: DR. CLAUDIA MONTANA-COLLINS O.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	152W00000X	Optometrist	12170T	CA

General Provider Information

NPI Number	:	1669558557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA MONTANA-COLLINS O.D.

Provider Business Mailing Address
First Line	:	14726 RAMONA AVE STE 203
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5730
Country	:	US
Telephone Number	:	626-305-9100
Fax Number	:	626-305-0152

Provider Business Practice Location Address
First Line	:	23521 PASEO DE VALENCIA STE 305
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3144
Country	:	US
Telephone Number	:	949-581-1770
Fax Number	:

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/09/2024

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