Individual
ANDREW MICHAEL MONTELONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
(310) 677-7808
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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