Healthcare Provider Details

I. General information

NPI: 1285897736
Provider Name (Legal Business Name): VARUN VIJAY KUMAR MONGA MBBS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VARUN MONGA MD

II. Dates (important events)

Enumeration Date: 07/04/2008
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST FL 6
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1825 4TH ST FL 6
SAN FRANCISCO CA
94143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7151
  • Fax: 415-502-1622
Mailing address:
  • Phone: 415-353-7151
  • Fax: 415-502-1622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberC184894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: