Individual
MICHAEL MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 275, MISSION VIEJO, CA 92691-6384
(949) 365-2387
(949) 365-2356
Mailing address
26800 CROWN VALLEY PKWY STE 275, MISSION VIEJO, CA 92691-6384
(949) 365-2387
(949) 365-2356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A107706
CA
208M00000X
Hospitalist Physician
Primary
A107706
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1077060
—
CA
Enumeration date
06/25/2008
Last updated
11/08/2021
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