Provider Demographics
NPI:1578919296
Name:OYOS, MONA
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:OYOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 MOUNT HERMON RD # 346E
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4030
Mailing Address - Country:US
Mailing Address - Phone:831-440-9710
Mailing Address - Fax:831-440-9710
Practice Address - Street 1:216 MOUNT HERMON RD # 346E
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4030
Practice Address - Country:US
Practice Address - Phone:831-440-9710
Practice Address - Fax:831-440-9710
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15803246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15803OtherARDMS