Provider Demographics
NPI:1245895135
Name:MONSON, KASSANDRA RENEE
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:RENEE
Last Name:MONSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90571
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90809-0571
Mailing Address - Country:US
Mailing Address - Phone:657-413-0633
Mailing Address - Fax:
Practice Address - Street 1:3622 HOWARD AVE APT 1
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3646
Practice Address - Country:US
Practice Address - Phone:657-413-0633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator