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Solandsoul Medical Group, A Professional Medical Corporation
Medical Specialty Clinic/Center in Tustin, California
NPI 1659913291

Solandsoul Medical Group, A Professional Medical Corporation is a Medical Specialty Clinic/Center based in Tustin, CA and is specialized in Medical Specialty. Solandsoul Medical Group, A Professional Medical Corporation practices in Tustin, CA. The NPI Number for Solandsoul Medical Group, A Professional Medical Corporation is 1659913291 and holds a License No. (California).

The current practice location address for Solandsoul Medical Group, A Professional Medical Corporation is 14642 Newport Ave Ste 105, Tustin, CA and can be reached out via phone at 949-527-6410 and via fax at 714-486-2309.

Location: 14642 Newport Ave Ste 105, Tustin, CA, 92780-6058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659913291
Provider Name
Solandsoul Medical Group, A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
14642 Newport Ave Ste 105, Tustin, CA, 92780-6058
Phone Number
949-527-6410
Fax Number
714-486-2309
Provider Enumeration Date
10/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14642 Newport Ave Ste 105
City
Tustin
State
California
Zip
92780-6058
Phone Number
949-527-6410
Fax Number
714-486-2309
person
Provider Business Mailing Address Details
Address
14642 Newport Ave Ste 105
City
Tustin
State
California
Zip
92780-6058
Phone Number
949-527-6410
Fax Number
714-486-2309
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
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).
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