Organization
CHE INVESTMENT ENTERPRISES INC
Active
Other names
Clinica Medica San Pedro La Puente
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MONTOYA SR. MD (PRESIDENT OF CORP)
(626) 960-6666
Entity
Organization
Contact information
Practice address
1025 WILLOW AVE, LA PUENTE, CA 91746-1617
(626) 960-6666
Mailing address
1025 WILLOW AVE, LA PUENTE, CA 91746-1617
(626) 960-6666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A40547
CA
207W00000X
Ophthalmology Physician
A76805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A40547
MEDICAL LICENSE
CA
01
—
A76805
MEDICAL LICENSE
CA
Enumeration date
11/04/2013
Last updated
12/13/2013
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