Healthcare Provider Details

I. General information

NPI: 1013766419
Provider Name (Legal Business Name): MONIKA HACHIYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 HOWARD ST
SAN FRANCISCO CA
94103-2822
US

IV. Provider business mailing address

3900 ALEMANY BLVD APT A
SAN FRANCISCO CA
94132-3207
US

V. Phone/Fax

Practice location:
  • Phone: 415-487-2140
  • Fax:
Mailing address:
  • Phone: 209-620-7271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: