Individual
MR. LUIS A MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. TECH
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 216-8810
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 216-8810
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT19449
CA
Other
Enumeration date
11/01/2006
Last updated
07/16/2007
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