Montecillo, Luzviminda T.

Montecillo, Luzviminda T. is an sole proprietor health care provider with primary practice located at 645 Aerick St Suite 1, Inglewood CA 90301-4881. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Montecillo, Luzviminda T. can be contacted via phone (310) 673-2764.

Contact Information

Primary practice address
645 Aerick St Suite 1 Inglewood CA 90301-4881
Fax: (310) 673-2403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A52290 California

Profile Details

NPI number 1447348149
LBN Legal business name Montecillo, Luzviminda T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Dec 20th, 2022 - about 4 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 1447348149 NPPES
California MEDICAID 00A522900

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