| Mary Fe G Monzon Dds Inc | |
|
2703 1/2 S Vermont Ave Los Angeles CA 90007-2766 | |
| (323) 735-7223 | |
| (323) 735-7222 |
| Full Name | Mary Fe G Monzon Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2703 1/2 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Mary Fe Guiman Monzon (DENTIST/OWNER) |
| Authorized Official Contact | 3237357223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Fe G Monzon Dds Inc 2703 1/2 S Vermont Ave Los Angeles CA 90007-2766 Ph: (323) 735-7223 | Mary Fe G Monzon Dds Inc 2703 1/2 S Vermont Ave Los Angeles CA 90007-2766 Ph: (323) 735-7223 |
| NPI Number | 1215318597 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 05/16/2019 |
| Medicare PECOS PAC ID | 6002141439 |
|---|---|
| Medicare Enrollment ID | O20190708002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215318597 | NPI | - | NPPES |
| G92500-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48336 (California) | Primary |
| Provider Name | Mary Fe Monzon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043225808 PECOS PAC ID: 1355630344 Enrollment ID: I20190708002532 |
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