Healthcare Provider Details
I. General information
NPI: 1346185089
Provider Name (Legal Business Name): STERLING MOBILE DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
270 BRISTOL ST STE 101-325
COSTA MESA CA
92626-5936
US
IV. Provider business mailing address
270 BRISTOL ST STE 101-325
COSTA MESA CA
92626-5936
US
V. Phone/Fax
- Phone: 714-869-1884
- Fax:
- Phone: 714-869-1884
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084D0003X |
| Taxonomy | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVID
NAZAR
Title or Position: MGMT
Credential:
Phone: 949-285-9855