Provider Demographics
NPI:1609582006
Name:SOLID HOPE NURSING CORPORATION
Entity Type:Organization
Organization Name:SOLID HOPE NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:THASANEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:909-718-2721
Mailing Address - Street 1:324 S DIAMOND BAR BLVD # 1011
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1607
Mailing Address - Country:US
Mailing Address - Phone:909-542-5754
Mailing Address - Fax:
Practice Address - Street 1:337 N VINEYARD AVE STE 400
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4436
Practice Address - Country:US
Practice Address - Phone:909-718-2721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty