OrganizationMontoya MedicineAcupuncturistOther Service ProvidersPractice Address2001 S Barrington Ave, Suite 216, Los Angeles, CA 90025-5363(424) 832-3014PECOS EnrollmentBased on the most recent information from CMS, provider Montoya Medicine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1619424371Provider TypeOrganizationFull NameMontoya MedicineSubpartNoEnumeration Date9/9/2016Last Updated9/9/2016Contact InformationPractice LocationPractice Address2001 S Barrington Ave, Suite 216, Los Angeles, CA 90025-5363Phone(424) 832-3014FaxUnlisted FaxMailing LocationMailing Address2001 S Barrington Ave, Suite 216, Los Angeles, CA 90025-5363Phone(424) 832-3014FaxUnlisted FaxAuthorized OfficialNameFowler, Joanna Montoya (Owner)Phone(424) 832-3014Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense15677California