Organization · Type 2 NPI

Solandsoul Medical Group, A Professional Medical Corporation

Medical Specialty Clinic/Center · Tustin, CA

NPI number 1659913291 Active

Practice location

14642 Newport Ave Ste 105
Tustin, CA 92780-6058

Fax (714) 486-2309

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

12 other providers at this address

Other medical specialty clinic/center providers in Tustin

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NPI record

NPI: 1659913291
Entity type: Organization (Type 2)
Issued: Oct 15, 2019
Last updated: Mar 17, 2020
Status: Active

Other names

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Luzwave Integrative Medicine · doing business as
Luzwave Integrative Medicine · doing business as

Authorized official

Linda Mack
Administrator
(949) 527-6400

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About NPI 1659913291

Solandsoul Medical Group, A Professional Medical Corporation's National Provider Identifier is 1659913291, issued on Oct 15, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Tustin, CA. The record was last updated on Mar 17, 2020.