Provider Demographics
NPI:1548431141
Name:MOSQUERA CARO, MONICA P (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:P
Last Name:MOSQUERA CARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39 OLD COURSE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-4279
Mailing Address - Country:US
Mailing Address - Phone:310-595-4056
Mailing Address - Fax:949-706-7156
Practice Address - Street 1:1 HOAG DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4162
Practice Address - Country:US
Practice Address - Phone:949-764-5610
Practice Address - Fax:949-764-8083
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96729207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology