Healthcare Provider Details

I. General information

NPI: 1700162054
Provider Name (Legal Business Name): SOLAR SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 SOLAR DR SUITE 100
OXNARD CA
93036-2641
US

IV. Provider business mailing address

1901 SOLAR DR SUITE 100
OXNARD CA
93036-2641
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-4345
  • Fax: 805-512-7161
Mailing address:
  • Phone: 805-485-4345
  • Fax: 805-512-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW R LANGROUDI
Title or Position: OWNER
Credential: D.P.M.
Phone: 805-485-4345