Healthcare Provider Details

I. General information

NPI: 1972261725
Provider Name (Legal Business Name): MONICA M TONGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 KINGS COUNTY DR STE 102
HANFORD CA
93230-5954
US

IV. Provider business mailing address

530 KINGS COUNTY DR
HANFORD CA
93230-3579
US

V. Phone/Fax

Practice location:
  • Phone: 559-415-6737
  • Fax:
Mailing address:
  • Phone: 559-415-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: