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General NPI Number Information
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NPI Number | 1417842915
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Entity Type | Organization
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Legal Business Name | SOLSTICE CLINIC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 11340 W OLYMPIC BLVD STE 385
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City | LOS ANGELES
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State | CA
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Zip | 90064-1639
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Country | US
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Telephone | 310-737-8499
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Fax | 866-936-1597
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Provider Business Mailing Address
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Address Line | 11870 SANTA MONICA BLVD STE 106745
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City | LOS ANGELES
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State | CA
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Zip | 90025-2276
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Country | US
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Telephone | 310-737-8499
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Fax | 866-936-1597
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES LUZANO
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Credential | MD
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Telephone | 310-737-8449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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