Ivan Omar Miramontes
NPI #1053272997 in Montclair, California
Provider Information
- NPI Number
- 1053272997
- Entity Type
- Individual
- Name
- Ivan Omar Miramontes
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Nov 20, 2025
- Last Updated
- Nov 20, 2025
Practice Location
- Address
- 5625 KINGSLEY ST
- City
- Montclair
- State
- California
- ZIP Code
- 91763-3948
- Phone
- (909) 984-3634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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