Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY MUNDAY, ATC
ActiveSports Medicine (PM&R) · ONTARIO, CA
Registration Details
- NPI Number
- 1104555630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2022 (3.8689161587818 yrs)
- Last Updated
- Jun 9, 2022
- Licenses
-
2000026040 (CA)2000026040 (CA)
Practice Information
- Address
-
901 W FRANCIS ST.ONTARIO, CA, 91762Browse CA providers · Browse ZIP 91762
- Phone
- 9099887411
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.