Individual
JESUS RAMON CASTANOS MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Mailing address
3676 3RD AVE, LOS ANGELES, CA 90018-4245
(310) 418-9210
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
285555
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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