Provider Demographics
NPI:1992824551
Name:MONTEZ-OCHOA, VIRGINIA RAMONA (RN)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:RAMONA
Last Name:MONTEZ-OCHOA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14014 LAUSANNE CT
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2556
Mailing Address - Country:US
Mailing Address - Phone:562-944-1931
Mailing Address - Fax:562-944-0530
Practice Address - Street 1:14014 LAUSANNE CT
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-2556
Practice Address - Country:US
Practice Address - Phone:562-944-1931
Practice Address - Fax:562-944-0530
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA349601163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARVN002190Medicaid
CA20-4328264OtherEIN