Individual
EDSEL C MONTEMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
8194 RIMRIDGE LN, SAN DIEGO, CA 92126-1132
(858) 564-8078
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
32140
CA
Other
Enumeration date
12/13/2011
Last updated
10/24/2021
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