Montenegromft | |
3166 E Palmdale Blvd Ste 104 Palmdale CA 93550-5029 | |
(818) 272-5947 | |
Not Available |
Full Name | Montenegromft |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3166 E Palmdale Blvd Ste 104, Palmdale, California |
Authorized Official Name and Position | Natalie Montenegro (OWNER) |
Authorized Official Contact | 8182754957 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montenegromft Po Box 900665 Palmdale CA 93590-0665 Ph: (818) 275-4957 | Montenegromft 3166 E Palmdale Blvd Ste 104 Palmdale CA 93550-5029 Ph: (818) 272-5947 |
NPI Number | 1386116028 |
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Provider Enumeration Date | 12/19/2018 |
Last Update Date | 05/09/2024 |
Certification Date | 05/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386116028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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