Healthcare Provider Details

I. General information

NPI: 1013531607
Provider Name (Legal Business Name): SOLLIS HEALTH LA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2020
Last Update Date: 05/30/2020
Certification Date: 05/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N SAN VICENTE BLVD
BEVERLY HILLS CA
90211-2303
US

IV. Provider business mailing address

153 1/2 N HAMILTON DR
BEVERLY HILLS CA
90211-2212
US

V. Phone/Fax

Practice location:
  • Phone: 310-870-0400
  • Fax:
Mailing address:
  • Phone: 310-870-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT BRAUNSTEIN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-870-0400