Provider Demographics
NPI:1619199783
Name:SONOWAVE IMAGING INC
Entity Type:Organization
Organization Name:SONOWAVE IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:714-393-7347
Mailing Address - Street 1:1833 E 17TH ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8629
Mailing Address - Country:US
Mailing Address - Phone:714-393-7347
Mailing Address - Fax:714-265-7584
Practice Address - Street 1:5608 S SOTO ST
Practice Address - Street 2:SUITE 108
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-2629
Practice Address - Country:US
Practice Address - Phone:714-393-7347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty