Provider Demographics
NPI:1386508356
Name:CANALES-MONTEJO, KAREN J
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:CANALES-MONTEJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32385 CIRCLE TER
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-8714
Mailing Address - Country:US
Mailing Address - Phone:909-319-4145
Mailing Address - Fax:
Practice Address - Street 1:32385 CIRCLE TER
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8714
Practice Address - Country:US
Practice Address - Phone:909-319-4145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty