Ivan Omar Miramontes
Ivan Omar Miramontes is a Community Health Worker in Montclair, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
5625 Kingsley StMontclair, CA 91763-3948
Phone: (909) 984-3634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X (CA) |
|---|
Record details
| NPI number | 1053272997 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 20, 2025 |
| Last updated in NPPES | November 20, 2025 |
| Certification date | November 20, 2025 |
| Mailing address | 950 W D St, Ontario, CA 91762-3026 |
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