Provider Demographics
NPI:1689039646
Name:MONROY, MARGARITA ANN
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:ANN
Last Name:MONROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGO
Other - Middle Name:ANN
Other - Last Name:MONROY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:45131 CAMOLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2049
Mailing Address - Country:US
Mailing Address - Phone:661-729-6711
Mailing Address - Fax:661-729-6711
Practice Address - Street 1:1037 W AVENUE N STE 205
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-2002
Practice Address - Country:US
Practice Address - Phone:661-575-9365
Practice Address - Fax:661-575-9502
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator