Healthcare Provider Details
I. General information
NPI: 1932593357
Provider Name (Legal Business Name): SOLAR URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2015
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 SOLAR DR STE 100
OXNARD CA
93036-0647
US
IV. Provider business mailing address
2100 SOLAR DR STE 100
OXNARD CA
93036-0647
US
V. Phone/Fax
- Phone: 805-988-9000
- Fax: 805-988-9089
- Phone: 805-988-9000
- Fax: 805-988-9089
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREW
REZA
LANGROUDI
Title or Position: CEO
Credential: DPM
Phone: 805-988-9000