Provider Demographics
NPI:1992923882
Name:MONGE, CHRISTOPHER ALFRED (RPSGT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALFRED
Last Name:MONGE
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10642 DOWNEY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3442
Mailing Address - Country:US
Mailing Address - Phone:562-622-3732
Mailing Address - Fax:562-622-3772
Practice Address - Street 1:10642 DOWNEY AVE STE 100
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3442
Practice Address - Country:US
Practice Address - Phone:562-622-3732
Practice Address - Fax:562-622-3772
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG207Medicare ID - Type UnspecifiedDOWNEY SLEEP ASSOCIATES