Provider Demographics
NPI:1154067866
Name:SOLAR URGENT CARE INC.
Entity Type:Organization
Organization Name:SOLAR URGENT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:LANGROUDI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:805-988-9000
Mailing Address - Street 1:2100 SOLAR DR STE 100
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0647
Mailing Address - Country:US
Mailing Address - Phone:805-988-9000
Mailing Address - Fax:
Practice Address - Street 1:250 S MILLS RD STE 100
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3436
Practice Address - Country:US
Practice Address - Phone:805-988-9001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLAR URGENT CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care