Provider Demographics
NPI:1598765695
Name:SAKASEGAWA, MONICA LAYNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LAYNE
Last Name:SAKASEGAWA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:LAYNE
Other - Last Name:FERRONI-SAKASEGAWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3026 XENOPHON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-1536
Mailing Address - Country:US
Mailing Address - Phone:619-985-5339
Mailing Address - Fax:
Practice Address - Street 1:3026 XENOPHON ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-1536
Practice Address - Country:US
Practice Address - Phone:619-985-5339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2343183500000X
CA47660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist