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Individual

MR. ALEX MONTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
375 ROLLING OAKS DR, SUITE 100, THOUSAND OAKS, CA 91361-1023
(805) 497-7775
(805) 557-1074
Mailing address
PO BOX 940838, SIMI VALLEY, CA 93094-0838
(805) 433-7777
(805) 433-7607

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10386
CA

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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