Montalvo, Omayra

Montalvo, Omayra is an individual health care provider with primary practice located at 900 Main St , Brawley CA 92227-2630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Montalvo, Omayra can be contacted via phone (760) 344-6471.

Contact Information

Primary practice address
900 Main St Brawley CA 92227-2630
Fax: (760) 344-8410
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 23182 California

Profile Details

NPI number 1114354404
LBN Legal business name Montalvo, Omayra
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114354404 NPPES
California MEDICAID 1649269747

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