Provider Demographics
NPI:1386983369
Name:S'NAPSE INC.
Entity type:Organization
Organization Name:S'NAPSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOVORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-335-0193
Mailing Address - Street 1:6185 MAGNOLIA AVE
Mailing Address - Street 2:SUITE 354
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2524
Mailing Address - Country:US
Mailing Address - Phone:951-335-0193
Mailing Address - Fax:951-335-0194
Practice Address - Street 1:6086 BROCKTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2227
Practice Address - Country:US
Practice Address - Phone:951-335-0193
Practice Address - Fax:951-335-0194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-11
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA800372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAR929AMedicare PIN