Provider Demographics
NPI:1225650120
Name:MONTES MEDICAL GROUP INC
Entity Type:Organization
Organization Name:MONTES MEDICAL GROUP INC
Other - Org Name:BEWELL IMMEDIATE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-908-4355
Mailing Address - Street 1:11822 FLORAL DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2900
Mailing Address - Country:US
Mailing Address - Phone:562-205-3405
Mailing Address - Fax:310-988-1561
Practice Address - Street 1:12533 WASHINGTON BLVD STE B
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1010
Practice Address - Country:US
Practice Address - Phone:562-696-1655
Practice Address - Fax:562-696-3755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONTES MEDICAL GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-13
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty