Individual
DR. MICHELE M MONTLLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, PASADENA, CA 91105-3010
(626) 397-5000
(626) 441-1048
Mailing address
470 COLUMBIA CIR, PASADENA, CA 91105-3306
(626) 252-6242
(626) 441-1048
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A034090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A340900
—
CA
Enumeration date
07/21/2006
Last updated
05/21/2015
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