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NPI Code Detail

MEDICARE: DANIEL ARTHUR MONTOYA

MEDICARE: DANIEL ARTHUR MONTOYA
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker111676CA

General Provider Information

NPI Number : 1861058133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ARTHUR MONTOYA
Provider Business Mailing Address
First Line : PO BOX 1186
Second Line :
City : GLENDORA
State : CA
Zip : 91740-1186
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 W MERCED AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3406
Country : US
Telephone Number : 626-939-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2019
Last Update Date : 01/09/2026

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Directions to “ DANIEL ARTHUR MONTOYA ” Practice Location

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