Provider Demographics
NPI:1093808669
Name:MOBILE SONOGRAPHY
Entity Type:Organization
Organization Name:MOBILE SONOGRAPHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYYANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-246-2619
Mailing Address - Street 1:24308 VAL VERDE CT
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-6297
Mailing Address - Country:US
Mailing Address - Phone:949-246-2619
Mailing Address - Fax:
Practice Address - Street 1:24308 VAL VERDE CT
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-6297
Practice Address - Country:US
Practice Address - Phone:949-246-2619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98559174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty