Luzwave Integrative Medicine

LBN: Solandsoul Medical Group, A Professional Medical Corporation
Luzwave Integrative Medicine is an health care organization with primary practice located at 14642 Newport Ave Ste 105 , Tustin CA 92780-6058. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Solandsoul Medical Group, A Professional Medical Corporation can be contacted via phone (949) 527-6410, or through Mack, Linda via phone (949) 527-6400.

Contact Information

Primary practice address
14642 Newport Ave Ste 105 Tustin CA 92780-6058
Fax: (714) 486-2309
Website:
Authorized official contact:
Name: Mack, Linda

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1659913291
LBN Legal business name Solandsoul Medical Group, A Professional Medical Corporation
DBA Doing business as Luzwave Integrative Medicine
Authorized official Mack, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2019
Last updated Mar 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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