| Montano Neurology Care Group | |
|
520 Superior Ave Ste 200 Newport Beach CA 92663-3642 | |
| (949) 726-9798 | |
| (949) 449-8282 |
| Full Name | Montano Neurology Care Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 520 Superior Ave Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Mark Anthony Montano (OWNER) |
| Authorized Official Contact | 9499100292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montano Neurology Care Group Po Box 12588 Costa Mesa CA 92627-8404 Ph: (949) 910-0292 | Montano Neurology Care Group 520 Superior Ave Ste 200 Newport Beach CA 92663-3642 Ph: (949) 726-9798 |
| NPI Number | 1699410282 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Medicare PECOS PAC ID | 0345628780 |
|---|---|
| Medicare Enrollment ID | O20220526000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699410282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mark A Montano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871577619 PECOS PAC ID: 6305842352 Enrollment ID: I20061013000442 |
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