| Carolyn A Montes, MD | |
|
4150 Regents Park Row Ste 345, La Jolla, CA 92037-9102 | |
| (858) 926-7010 | |
| (858) 926-7011 |
| Full Name | Carolyn A Montes |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 4150 Regents Park Row Ste 345, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215499769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | A201919 (California) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | A201919 (California) | Secondary |
| Entity Name | Osu Otolaryngology Head And Neck Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861449407 PECOS PAC ID: 9830114529 Enrollment ID: O20051012000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn A Montes, MD 4150 Regents Park Row Ste 345, La Jolla, CA 92037-9102 Ph: (858) 926-7010 | Carolyn A Montes, MD 4150 Regents Park Row Ste 345, La Jolla, CA 92037-9102 Ph: (858) 926-7010 |
Dr. Peter Dixon, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-657-8590 | |
Mahmood Mahdavi, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Ste 710, La Jolla, CA 92037 Phone: 858-458-9955 Fax: 858-452-7848 | |
Tammy Pham, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr # 7895, La Jolla, CA 92037 Phone: 619-321-8776 | |
Dr. Krista Michelle Rodriguez-bruno, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9834 Genesee Ave Ste 416, La Jolla, CA 92037 Phone: 858-458-1287 Fax: 858-452-9160 | |
Dr. Keith Jay Wahl, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8735 Nottingham Pl, La Jolla, CA 92037 Phone: 858-518-2190 Fax: 858-455-0655 | |
Dr. Brendan Gaylis, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-8959 Fax: 858-784-5933 |