Provider Demographics
NPI:1477537439
Name:KIEF-GARCIA, MONIKA LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:LYNNE
Last Name:KIEF-GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26520 CACTUS AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-3927
Mailing Address - Country:US
Mailing Address - Phone:951-486-4000
Mailing Address - Fax:
Practice Address - Street 1:26520 CACTUS AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-3927
Practice Address - Country:US
Practice Address - Phone:951-486-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA458362085R0204X, 2085U0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A458360Medicaid
CA300104690OtherRAILROAD MEDICARE
CA00A458367Medicare PIN
CA00A4583613Medicare PIN
CA300104690OtherRAILROAD MEDICARE
CAF28631Medicare UPIN
CA00A458366Medicare PIN
CA00A4583611Medicare PIN
CA00A4583612Medicare PIN
CA00A4583615Medicare PIN
CA00A458364Medicare PIN
CA00A548360Medicare PIN
CA00A458361Medicare PIN
CA00A458360Medicaid
CA00A4583614Medicare PIN
CA00A458368Medicare PIN
CA00A458369Medicare PIN