Provider Demographics
NPI:1861244410
Name:MONTES, BRYAN JOSHUA
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:JOSHUA
Last Name:MONTES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 GRANDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91744-3300
Mailing Address - Country:US
Mailing Address - Phone:626-343-1597
Mailing Address - Fax:
Practice Address - Street 1:858 GRANDVIEW LN
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-3300
Practice Address - Country:US
Practice Address - Phone:626-343-1597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No172V00000XOther Service ProvidersCommunity Health Worker