Healthcare Provider Details

I. General information

NPI: 1477244671
Provider Name (Legal Business Name): TONO MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 B ST STE 300
SAN DIEGO CA
92101-4505
US

IV. Provider business mailing address

90 FURMAN ST # 801
BROOKLYN NY
11201-7083
US

V. Phone/Fax

Practice location:
  • Phone: 301-461-6549
  • Fax:
Mailing address:
  • Phone: 301-461-6549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MONDANA GHIAS
Title or Position: PRESIDENT, BENEFICIAL OWNER
Credential: MD
Phone: 301-461-6549