Provider Demographics
NPI:1225229446
Name:MONTERREY, KEYLA SARAI (MD)
Entity Type:Individual
Prefix:MRS
First Name:KEYLA
Middle Name:SARAI
Last Name:MONTERREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:KEYLA
Other - Middle Name:SARAI
Other - Last Name:MONTERREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4065 COUNTY CIRCLE DR
Mailing Address - Street 2:ROOM 306
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3410
Mailing Address - Country:US
Mailing Address - Phone:951-358-5222
Mailing Address - Fax:951-358-5235
Practice Address - Street 1:309 E. SAN JACINTO AVENUE
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570
Practice Address - Country:US
Practice Address - Phone:951-214-1400
Practice Address - Fax:951-940-6726
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFB0191471OtherDEA