MEDICARE: DR. MONICA LAYNE SAKASEGAWA PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2343	HI
2	183500000X	Pharmacist	47660	CA

General Provider Information

NPI Number	:	1598765695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA LAYNE SAKASEGAWA PHARM.D.

Provider Business Mailing Address
First Line	:	3026 XENOPHON ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-1536
Country	:	US
Telephone Number	:	619-985-5339
Fax Number	:

Provider Business Practice Location Address
First Line	:	3026 XENOPHON ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-1536
Country	:	US
Telephone Number	:	619-985-5339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	12/17/2021

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