Provider Demographics
NPI:1083327761
Name:GIL DE MONTES, RICARDO JR
Entity Type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:
Last Name:GIL DE MONTES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9941 SPRINGLAND DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-1840
Mailing Address - Country:US
Mailing Address - Phone:562-325-4136
Mailing Address - Fax:
Practice Address - Street 1:6016 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-5569
Practice Address - Country:US
Practice Address - Phone:562-325-4136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered