Individual
JOHN MONTGOMERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
12231 LAWLER ST, LOS ANGELES, CA 90066-1907
(310) 391-2689
Mailing address
12231 LAWLER ST, LOS ANGELES, CA 90066-1907
(310) 391-2689
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
A24480
CA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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