MTBLO MEDICAL GROUP INC (NPI# 1316241946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316241946 |
| Entity Type | Organization |
| Organization Name | MTBLO MEDICAL GROUP INC |
| Practice Address |
540 N Montebello Blvd Ste D Montebello CA 90640 |
| Mailing Address |
Po Box 27206 Los Angeles CA 90027-0206 |
| Practice Telephone | 3237280080 |
| Practice Fax Number | 3237280090 |
| Mailing Telephone | 2133850675 |
| Mailing Fax Number | 2133656429 |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MICHAEL GITTER (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2133850675 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C51512 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI | 1316241946 | 01 |
| Street Address |
540 N MONTEBELLO BLVD STE D |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518182880 | Suk Sang Samuel Um | General Practice | 1435 W Beverly Blvd, Montebello, CA 90640-4154 | 2007-04-13 |
| 1841227436 | Robert Hugh Cohen | General Practice | 2011 W Whittier Blvd, Montebello, CA 90640-4010 | 2006-06-27 |
| 1609822527 | Richard L Garcia Md A Medical Corporation | General Practice | 413 N Poplar Ave, Montebello, CA 90640-4419 | 2006-05-25 |
| 1013415082 | Md Health Network Inc | General Practice | 1336 W Whittier Blvd, Montebello, CA 90640-4601 | 2018-01-25 |
| 1871970798 | Montebello Physicians Quality Care | General Practice | 2011 W Whittier Blvd, Montebello, CA 90640-4010 | 2015-04-29 |
| 1144659228 | Mdnp Providers Inc | General Practice | 120 W Beverly Blvd, Montebello, CA 90640-4305 | 2013-11-08 |
| 1912278664 | Optimal Wellness | General Practice | 420 N Montebello Blvd, 300, Montebello, CA 90640-4268 | 2012-01-25 |
| 1942586136 | Latinocare Partners Medical Group | General Practice | 1336 W Whittier Blvd, Suite B, Montebello, CA 90640-4601 | 2011-11-01 |
| 1952560344 | Hnnn Medical Corporation | General Practice | 2428 W Whittier Blvd, Montebello, CA 90640-3041 | 2008-06-02 |
| 1932315827 | A Shawn Adhami Md A Proffesional | General Practice | 1000 W Whittier Blvd, Montebello, CA 90640 | 2007-05-15 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
Please comment or provide details below to improve the information on MTBLO MEDICAL GROUP INC.
| 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.