Provider Demographics
NPI:1396290292
Name:THERAPEUTIC SOLUTIONS, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:THERAPEUTIC SOLUTIONS, PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:I
Authorized Official - Last Name:ABOUESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-899-3150
Mailing Address - Street 1:3255 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0255
Mailing Address - Country:US
Mailing Address - Phone:530-899-3150
Mailing Address - Fax:530-899-3160
Practice Address - Street 1:3255 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0255
Practice Address - Country:US
Practice Address - Phone:530-899-3150
Practice Address - Fax:530-899-3160
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPEUTIC SOLUTIONS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-20
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLM 00342557291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D2039443OtherCLIA