Edoardo C Montemayor
Individual provider Active NPI Marriage & Family Therapist · Daly City, CA
NPI 1164071478 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1164071478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 350 90TH St
Daly City, CA 94015-1879 - Phone
- (650) 877-5700
- NPI assigned
- Sep 9, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current |
Accepting new patients | |
| County of San Mateo | Past |
Accepting new patients |
Locations
350 90th St
Daly City, CA 94015
Phone (650) 301-8650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
350 90TH St
Daly City, CA 94015-1879
Mailing address
350 90TH St
Daly City, CA 94015-1879
Phone (650) 877-5700
Other providers in Daly City, CA
- Scott K Mock
- Camila Moffitt
- Laura Molina Arce
- Emerald Molina
- Joseph Andrew Mollick
- Jeremy Montemayor
- Michelle Eunh Moon
- Christi Morales-Kumasawa
- Corazon Oblea Morales
- Cristian Morales
All providers in Daly City, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.