Provider Demographics
NPI:1356865810
Name:MONTES, OSCAR JR (MSW, ASCW)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:
Last Name:MONTES
Suffix:JR
Gender:M
Credentials:MSW, ASCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 SAN PEDRO ST.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003
Mailing Address - Country:US
Mailing Address - Phone:323-570-0445
Mailing Address - Fax:
Practice Address - Street 1:8220 SAN PEDRO ST.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003
Practice Address - Country:US
Practice Address - Phone:323-570-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2021-08-12
Deactivation Date:2018-08-03
Deactivation Code:
Reactivation Date:2018-08-13
Provider Licenses
StateLicense IDTaxonomies
CAASW84666104100000X, 1041C0700X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical