Organization
MONTESANO SPINE & SPORT WEST, P.C.
Active
Other names
Montesano Spine & Sport West, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASQUALE X MONTESANO MD (PRESIDENT)
(310) 858-5561
Entity
Organization
Contact information
Practice address
450 N ROXBURY DR STE 602, BEVERLY HILLS, CA 90210-4220
(310) 858-5561
(310) 858-5562
Mailing address
468 N CAMDEN DR FL 2, BEVERLY HILLS, CA 90210-4507
(310) 858-5561
(310) 858-5562
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G049341
CA
Other
Enumeration date
09/23/2017
Last updated
06/16/2018
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