Individual
DR. ROBERT LESLIE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5502 SEPULVEDA BLVD, CULVER CITY, CA 90230-5514
(310) 390-9386
(310) 572-6194
Mailing address
5502 SEPULVEDA BLVD, CULVER CITY, CA 90230-5514
(310) 390-9386
(310) 572-6194
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E29761
—
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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