| Montes Medical Group Inc | |
|
832 S. Grevillea Ave. Inglewood CA 90301-3312 | |
| (310) 419-4354 | |
| (310) 419-4621 |
| Full Name | Montes Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 832 S. Grevillea Ave., Inglewood, California |
| Authorized Official Name and Position | Juan Zepeda Montes (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3104194354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montes Medical Group Inc 832 S. Grevillea Ave. Inglewood CA 90301-3312 Ph: (310) 419-4354 | Montes Medical Group Inc 832 S. Grevillea Ave. Inglewood CA 90301-3312 Ph: (310) 419-4354 |
| NPI Number | 1093809592 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093809592 | NPI | - | NPPES |
| GR0026811 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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