Mary Fe G Monzon Dds Inc | |
2703 1/2 S Vermont Ave Los Angeles CA 90007-2766 | |
(323) 735-7223 | |
(323) 735-7222 |
Full Name | Mary Fe G Monzon Dds Inc |
---|---|
Speciality | Dentist |
Location | 2703 1/2 S Vermont Ave, Los Angeles, California |
Authorized Official Name and Position | Mary Fe Guiman Monzon (DENTIST/OWNER) |
Authorized Official Contact | 3237357223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mary Fe G Monzon Dds Inc 2703 1/2 S Vermont Ave Los Angeles CA 90007-2766 Ph: (323) 735-7223 | Mary Fe G Monzon Dds Inc 2703 1/2 S Vermont Ave Los Angeles CA 90007-2766 Ph: (323) 735-7223 |
NPI Number | 1215318597 |
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Provider Enumeration Date | 06/12/2015 |
Last Update Date | 05/16/2019 |
Medicare PECOS PAC ID | 6002141439 |
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Medicare Enrollment ID | O20190708002275 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215318597 | NPI | - | NPPES |
G92500-01 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 48336 (California) | Primary |
Provider Name | Mary Fe Monzon |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1043225808 PECOS PAC ID: 1355630344 Enrollment ID: I20190708002532 |
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