MEDICARE: SOLARA HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	323P00000X	Psychiatric Residential Treatment Facility
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1760916555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLARA HEALTH, INC

Provider Business Mailing Address
First Line	:	400 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6702
Country	:	US
Telephone Number	:	949-370-0771
Fax Number	:	855-378-2886

Provider Business Practice Location Address
First Line	:	5322 SOLEDAD MOUNTAIN RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-1531
Country	:	US
Telephone Number	:	844-600-9747
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DERIK BRIAN
Credential	:
Telephone Number	:	949-370-0771

Provider Enumeration Date	:	04/18/2017
Last Update Date	:	05/21/2026

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Directions to “SOLARA HEALTH, INC ” Practice Location

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