F. Montelongo M.d Inc | |
932 E Chapman Ave Orange CA 92866-2109 | |
(714) 997-8050 | |
(714) 997-5075 |
Full Name | F. Montelongo M.d Inc |
---|---|
Speciality | Clinic/Center |
Location | 932 E Chapman Ave, Orange, California |
Authorized Official Name and Position | Fernando A Montelongo (DOCTOR) |
Authorized Official Contact | 7149978050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
F. Montelongo M.d Inc 932 E Chapman Ave Orange CA 92866-2109 Ph: (714) 997-8050 | F. Montelongo M.d Inc 932 E Chapman Ave Orange CA 92866-2109 Ph: (714) 997-8050 |
NPI Number | 1821259334 |
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Provider Enumeration Date | 06/18/2008 |
Last Update Date | 06/18/2008 |
Medicare PECOS PAC ID | 0143384461 |
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Medicare Enrollment ID | O20090202000391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821259334 | NPI | - | NPPES |
G45460 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Fernando Montelongo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245321165 PECOS PAC ID: 5698839918 Enrollment ID: I20090202000383 |
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