Doctor Name: | MR. JORGE JAVIER MONTOYA |
NPI Number: | 1912008558 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | IMF41368 |
Business Practice Address: | 211 W Commonwealth Ave Fullerton, CA - 928321810 |
Business Phone Number: | 7144477099 |
Business Fax Number: | 7144477015 |
Mailing Address: | 3441 E Calle Baja Dr, WEST COVINA |
State: | CA |
Postal Code: | 917922906 |
Phone Number: | 9095955293 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | IMF41368 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |