Provider Demographics
NPI:1477251601
Name:SOL MEDICAL
Entity Type:Organization
Organization Name:SOL MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:HANG
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPAS
Authorized Official - Phone:602-456-2821
Mailing Address - Street 1:3118 W THOMAS RD STE 713
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-5308
Mailing Address - Country:US
Mailing Address - Phone:602-456-2821
Mailing Address - Fax:
Practice Address - Street 1:3118 W THOMAS RD STE 711
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-5308
Practice Address - Country:US
Practice Address - Phone:602-456-2821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty