Provider Demographics
NPI:1780068882
Name:TOEQUE, MONA-GEKANJU (MD,MPH)
Entity type:Individual
Prefix:DR
First Name:MONA-GEKANJU
Middle Name:
Last Name:TOEQUE
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:DR
Other - First Name:MONA
Other - Middle Name:G
Other - Last Name:TOEQUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:323-467-7119
Practice Address - Street 1:4905 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6101
Practice Address - Country:US
Practice Address - Phone:323-662-0492
Practice Address - Fax:323-662-0196
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA173822207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease