Provider Demographics
NPI:1710090717
Name:HASSLER, MONIKA (PA-C)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:HASSLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:7933 WREN AVE
Practice Address - Street 2:SUITE D
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4996
Practice Address - Country:US
Practice Address - Phone:408-847-1739
Practice Address - Fax:408-847-5146
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11395363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant