Healthcare Provider Details

I. General information

NPI: 1417842915
Provider Name (Legal Business Name): SOLSTICE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 W OLYMPIC BLVD STE 385
LOS ANGELES CA
90064-1639
US

IV. Provider business mailing address

11870 SANTA MONICA BLVD STE 106745
LOS ANGELES CA
90025-2276
US

V. Phone/Fax

Practice location:
  • Phone: 310-737-8499
  • Fax: 866-936-1597
Mailing address:
  • Phone: 310-737-8499
  • Fax: 866-936-1597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES LUZANO
Title or Position: OWNER
Credential: MD
Phone: 310-737-8449