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Organization
MONTE VISTA MEDICAL GROUP, INC.
Active
Organization
MONTE VISTA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BAUTISTA NP (CFO/SECRETARY)
(909) 230-0101
Entity
Organization
Contact information
Practice address
9655 MONTE VISTA AVE STE 405, MONTCLAIR, CA 91763-2238
(909) 230-0101
(909) 445-1122
Mailing address
9655 MONTE VISTA AVE STE 405, MONTCLAIR, CA 91763-2238
(909) 230-0101
(909) 445-1122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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