Provider Demographics
NPI:1871970798
Name:MONTEBELLO PHYSICIANS QUALITY CARE
Entity type:Organization
Organization Name:MONTEBELLO PHYSICIANS QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-724-7824
Mailing Address - Street 1:2011 W WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4010
Mailing Address - Country:US
Mailing Address - Phone:323-724-7824
Mailing Address - Fax:323-724-7834
Practice Address - Street 1:2011 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4010
Practice Address - Country:US
Practice Address - Phone:323-724-7824
Practice Address - Fax:323-724-7834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty