Provider Demographics
NPI:1710202833
Name:SONITUS MEDICAL INC.
Entity Type:Organization
Organization Name:SONITUS MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOLFATHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-838-0327
Mailing Address - Street 1:1900 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1222
Mailing Address - Country:US
Mailing Address - Phone:650-838-0325
Mailing Address - Fax:650-838-0326
Practice Address - Street 1:1900 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1222
Practice Address - Country:US
Practice Address - Phone:650-838-0325
Practice Address - Fax:650-838-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment