Healthcare Provider Details

I. General information

NPI: 1629518592
Provider Name (Legal Business Name): SONOGEEKS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 S CENTRAL AVE SUITE 204
GLENDALE CA
91204-2061
US

IV. Provider business mailing address

730 S CENTRAL AVE SUITE 204
GLENDALE CA
91204-2061
US

V. Phone/Fax

Practice location:
  • Phone: 818-937-9119
  • Fax: 818-937-9150
Mailing address:
  • Phone: 818-937-9119
  • Fax: 818-937-9150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. SUREN ZAKARYAN
Title or Position: PRESIDENT/CEO
Credential: RVT, RDCS
Phone: 818-937-9119