Healthcare Provider Details

I. General information

NPI: 1215882253
Provider Name (Legal Business Name): CARESOLA MEDICAL SERVICES WEST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 MAIN ST STE 1243
IRVINE CA
92614-8235
US

IV. Provider business mailing address

1903 NORTHGATE BLVD STE 116
SARASOTA FL
34234-2143
US

V. Phone/Fax

Practice location:
  • Phone: 213-463-6426
  • Fax: 820-500-4107
Mailing address:
  • Phone: 213-463-6426
  • Fax: 820-500-4107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN BURLINSON
Title or Position: MANAGER
Credential:
Phone: 650-798-9039