Montoya, Bridgett Jeanine

Montoya, Bridgett Jeanine is an individual health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Montoya, Bridgett Jeanine can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Fax: (818) 893-4509
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1225766991
LBN Legal business name Montoya, Bridgett Jeanine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2022
Last updated Oct 2nd, 2023 - about 3 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 1225766991 NPPES
California MEDICAID 95-2633765

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