Healthcare Provider Details

I. General information

NPI: 1851628382
Provider Name (Legal Business Name): SONYA LANNIRE MERIDETH R.D.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16129 HAWTHORNE BLVS STE. D153
LAWNDALE CA
90260
US

IV. Provider business mailing address

16129 HAWTHORNE BLVS STE. D153
LAWNDALE CA
90260
US

V. Phone/Fax

Practice location:
  • Phone: 213-915-4669
  • Fax:
Mailing address:
  • Phone: 213-915-4669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberH6356
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: