Healthcare Provider Details

I. General information

NPI: 1477947802
Provider Name (Legal Business Name): SOLAR HEALTH DOCTORS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 09/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SOLAR DR STE 102
OXNARD CA
93036-0649
US

IV. Provider business mailing address

2100 SOLAR DR STE 102
OXNARD CA
93036-0649
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-9001
  • Fax: 805-988-9088
Mailing address:
  • Phone: 805-988-9001
  • Fax: 805-988-9088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW REZA LANGROUDI
Title or Position: CEO
Credential: DPM
Phone: 805-988-9001