Individual provider · Type 1 NPI

William McClelland Montgomery Jr.

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1720699440 Active

Practice location

6762 Lexington Ave
Los Angeles, CA 90038-1217

Call (323) 380-7590 Map

Mailing address

1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871

Other practice locations

  • 1149 S Hill St # H-375, Los Angeles, CA 90015-2212 · (213) 821-5977

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720699440

William McClelland Montgomery Jr.'s National Provider Identifier is 1720699440, issued on Aug 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 14, 2021.