Luzviminda T Montecillo Md A Professional Corporation

NPI 1285711812 - Internal Medicine - 207R00000X

NPI Details
NPI 1285711812
Enumeration Date 11/01/2006
Last Updated 10/29/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LUZVIMINDA TAGORDA LUZVIMINDA
Position OWNER
Phone (310) 673-2764
Fax (310) 673-2403
Practice Location
645 AERICK STREET
SUITE 1
INGLEWOOD CA, 90301-4882, US
Phone (310) 673-2764
Fax (310) 673-2403
Business Location
719 HIGH LN
REDONDO BEACH CA, 90278-5107, US
Phone (310) 673-2764
Fax (310) 673-2403
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A52290
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According to our database, Luzviminda T Montecillo Md A Professional Corporation NPI is 1285711812, taxonomy code is 207R00000X and license number is A52290, license state is located at California. Luzviminda T Montecillo Md A Professional Corporation physically located at 645 Aerick Street, Inglewood CA, 90301-4882. NPI Number 1033115704 has the healthcare provider type.

1285711812 NPI number is provided on an as is basis without warranty of any kind. 1285711812 is maintained by the National Plan & Provider Enumeration System. The contents of Luzviminda T Montecillo Md A Professional Corporation are for informational purposes only.