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Dorian Montero

Specialist/Technologist, Athletic Trainer in La Mirada, CA. Individual provider (NPI-1).

NPI number1336718006
StatusActive
Last updated in NPPESJun 17, 2021

Details

NPI
1336718006
Entity type
Individual (NPI-1)
Name
Dorian Montero
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2021
Certification date
Jun 17, 2021
Last updated
Jun 17, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

14616 Richvale Dr
La Mirada, CA 90638-1030

Phone 323-314-1291

Mailing address

14616 Richvale Dr
La Mirada, CA 90638-1030

Phone 323-314-1291

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in La Mirada, CA

All 6 Athletic Trainer providers in La Mirada · All 621 providers in La Mirada

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