Provider Demographics
NPI:1558812404
Name:SONNIA A. AHINASI
Entity Type:Organization
Organization Name:SONNIA A. AHINASI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONNIA
Authorized Official - Middle Name:ABA
Authorized Official - Last Name:AHINASI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:323-683-3691
Mailing Address - Street 1:4192 VIA NAPOLI
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4750
Mailing Address - Country:US
Mailing Address - Phone:323-683-3691
Mailing Address - Fax:
Practice Address - Street 1:4192 VIA NAPOLI
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4750
Practice Address - Country:US
Practice Address - Phone:323-683-3691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-16
Last Update Date:2016-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005033283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital