Provider Demographics
NPI:1700162054
Name:SOLAR SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:SOLAR SURGICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:R
Authorized Official - Last Name:LANGROUDI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:805-485-4345
Mailing Address - Street 1:1901 SOLAR DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2641
Mailing Address - Country:US
Mailing Address - Phone:805-485-4345
Mailing Address - Fax:805-512-7161
Practice Address - Street 1:1901 SOLAR DR
Practice Address - Street 2:SUITE 100
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2641
Practice Address - Country:US
Practice Address - Phone:805-485-4345
Practice Address - Fax:805-512-7161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical