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Gordon James Montgomery, MD
Specialist in Chula Vista, California
NPI 1144226234

Gordon James Montgomery is a Specialist based in Chula Vista, CA. Gordon James Montgomery practices in Chula Vista, CA and has the professional credentials of MD. The NPI Number for Gordon James Montgomery is 1144226234 and holds a License No. G31591 (California).

The current practice location address for Gordon James Montgomery is 835 Third Ave Ste A, Chula Vista, CA and can be reached out via phone at 619-425-7755 and via fax at 619-425-2138.

Location: 835 Third Ave Ste A, Chula Vista, CA, 91911-1352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144226234
Provider Name
Gordon James Montgomery
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
835 Third Ave Ste A, Chula Vista, CA, 91911-1352
Phone Number
619-425-7755
Fax Number
619-425-2138
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G5315910 05 CA
00G315911 05 CA
WG31591D 01 CA MEDICARE PIN # (R)
institution
Provider Business Practice Location Address Details
Address
835 Third Ave Ste A
City
Chula Vista
State
California
Zip
91911-1352
Phone Number
619-425-7755
Fax Number
619-425-2138
person
Provider Business Mailing Address Details
Address
835 Third Ave Ste A
City
Chula Vista
State
California
Zip
91911-1352
Phone Number
619-425-7755
Fax Number
619-425-2138
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G31591 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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