MR. ACE MONZON KAMANTIGUE


Address: 10571 Ponderosa Cir, Santa Fe Springs, CA 90670-3866
Phone: 7147471830

MR. ACE MONZON KAMANTIGUE (NPI# 1528419348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528419348
Entity Type Individual
Full Name MR. ACE MONZON KAMANTIGUE
Credential N.P.
Practice Address 10571 Ponderosa Cir
Santa Fe Springs
CA 90670-3866
Practice Telephone 7147471830
Practice Fax Number 5629441869
Mailing Telephone (714) 747-1830
Mailing Fax Number 5629441869
Enumeration Date 2016-06-22
Last Update Date 2017-06-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 720659 CA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95006726 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10571 PONDEROSA CIR
City SANTA FE SPRINGS
State CA
Zip Code 90670-3866

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1861700478 P. John Baldrias Inc. Nurse Practitioner 11741 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-3687 2010-09-16

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Competitor

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City SANTA FE SPRINGS
Zip Code 90670

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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