Provider Demographics
NPI:1063825255
Name:SURFIAN, NIGAL (ARDMS)
Entity Type:Individual
Prefix:MR
First Name:NIGAL
Middle Name:
Last Name:SURFIAN
Suffix:
Gender:M
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16041 MARJAN LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3423
Mailing Address - Country:US
Mailing Address - Phone:714-390-7070
Mailing Address - Fax:
Practice Address - Street 1:16041 MARJAN LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3423
Practice Address - Country:US
Practice Address - Phone:714-390-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA366672471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography