Organization
F. MONTELONGO M.D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO A MONTELONGO M.D (DOCTOR)
(714) 997-8050
Entity
Organization
Contact information
Practice address
932 E CHAPMAN AVE, ORANGE, CA 92866-2109
(714) 997-8050
(714) 997-5075
Mailing address
932 E CHAPMAN AVE, ORANGE, CA 92866-2109
(714) 997-8050
(714) 997-5075
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G45460
LICENSE
CA
Enumeration date
06/18/2008
Last updated
06/18/2008
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