Individual
DIONISIO MANEJA MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E ANAHEIM ST, WILMINGTON, CA 90744-4516
(310) 835-4000
(310) 835-4012
Mailing address
200 E ANAHEIM ST, WILMINGTON, CA 90744-4516
(310) 835-4000
(310) 835-4012
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A47968
CA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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