Individual
DR. CHINNAVUTH PITOU DE MONTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 HIGH SCHOOL AVE, SUITE 800, CONCORD, CA 94520-1800
(925) 687-5210
(925) 687-5091
Mailing address
2415 HIGH SCHOOL AVE, SUITE 800, CONCORD, CA 94520-1800
(925) 687-5210
(925) 687-5091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G73896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G73896
CA STATE LICENSE
CA
Enumeration date
07/06/2006
Last updated
03/07/2023
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