Individual
DR. JOSE NIVARDO MONTANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3617 EAST M L KING JR BLVD, LYNWOOD, CA 90262
(310) 638-1171
(310) 638-3715
Mailing address
3617 EAST M L KING JR BLVD, LYNWOOD, CA 90262
(310) 638-1171
(310) 638-3715
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A33055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A330550
—
CA
Enumeration date
02/03/2006
Last updated
07/08/2007
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