Ivan Federico Montenegro, BACHELORS OF ARTS - Psychologist in Los Angeles, CA

Ivan Federico Montenegro, BACHELORS OF ARTS is a Psychologist - Counseling based in Los Angeles, California. Ivan Federico Montenegro is licensed to practice in * (Not Available) (license number ) and his current practice location is 4401 Crenshaw Blvd Ste 215, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (323) 291-7100.

NPI number for Ivan Federico Montenegro is 1083251987 and his current mailing address is 4401 Crenshaw Blvd Ste 215, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083251987.

Contact Information

Ivan Federico Montenegro, BACHELORS OF ARTS
4401 Crenshaw Blvd Ste 215,
Los Angeles, CA 90043-1200
(323) 291-7100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameIvan Federico Montenegro
GenderMale
SpecialityPsychologist - Counseling
Location4401 Crenshaw Blvd Ste 215, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083251987
  • Provider Enumeration Date: 12/10/2019
  • Last Update Date: 12/10/2019

Medical Identifiers

Medical identifiers for Ivan Federico Montenegro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083251987NPI-NPPES
05-0617904OtherCAPRIVATE INSURANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Federico Montenegro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivan Federico Montenegro, BACHELORS OF ARTS
4401 Crenshaw Blvd Ste 215,
Los Angeles, CA 90043-1200

Ph: (323) 291-7100
Ivan Federico Montenegro, BACHELORS OF ARTS
4401 Crenshaw Blvd Ste 215,
Los Angeles, CA 90043-1200

Ph: (323) 291-7100

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