| Doctor Name: | DR. ROMEO UY MONTENEGRO |
| NPI Number: | 1629297163 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G 80659 |
| Business Practice Address: | 14427 Chase St Ste. 100 Panorama City, CA - 914023020 |
| Business Phone Number: | 8188307751 |
| Business Fax Number: | 8188917892 |
| Mailing Address: | 14427 Chase St, Ste. 100 PANORAMA CITY |
| State: | CA |
| Postal Code: | 914023020 |
| Phone Number: | 8188307751 |
| Fax Number: | 8188917892 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G 80659 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |