MEDICARE: SONEX MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1689020232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONEX MEDICAL LLC

Provider Business Mailing Address
First Line	:	1544 OAK ST
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-4827
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1544 OAK ST
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-4827
Country	:	US
Telephone Number	:	408-460-2379
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AHREN J WEST
Credential	:	RVT
Telephone Number	:	408-460-2379

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/12/2016

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Directions to “SONEX MEDICAL LLC ” Practice Location

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