Individual
JEREMY MATTHEW MONTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 W CARROLL AVE STE 200, GLENDORA, CA 91741-4709
(626) 914-3921
(626) 914-9611
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A135818
CA
Other
Enumeration date
01/22/2007
Last updated
11/18/2020
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