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Contact Information

LISA R MONTANG, MD
1030 INTERNATIONAL BLVD
OAKLAND, CA94601
 Phone: 510-238-5400
 Fax: 510-238-5437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LISA R MONTANG · (Female)

NPI # 1003916263
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 08/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G73747
  • CA Medicaid FHC11991F
  • CA Other HAP11991F FPACT
  • CA Other 55-1822 FQHC MEDICARE PART A
  • CA Other ZZZ79046Z FQHC MEDICARE PART B
Hospital affiliation(s)
  • ALAMEDA COUNTY MEDICAL CENTER - (Acute Care)
    1411 E 31ST STREET
    OAKLAND, CA 94602
  • ALTA BATES SUMMIT MEDICAL CENTER - (Acute Care)
    350 HAWTHORNE AVENUE
    OAKLAND, CA 94609
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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