Healthcare Provider Details

I. General information

NPI: 1619278991
Provider Name (Legal Business Name): SON & CHAHIN MEDICAL CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 VERDUGO BLVD 731
MONTROSE CA
91020-1626
US

IV. Provider business mailing address

2029 VERDUGO BLVD 731
MONTROSE CA
91020-1626
US

V. Phone/Fax

Practice location:
  • Phone: 661-287-3162
  • Fax: 661-287-3951
Mailing address:
  • Phone: 661-287-3162
  • Fax: 661-287-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS H SON
Title or Position: CEO
Credential: M.D.
Phone: 661-287-3162