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Organization
SOL LIFE MEDICAL CORPORATION
Active
Organization
SOL LIFE MEDICAL CORPORATION
Active
Other names
OC Sports and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SUNSHINE (PRESIDENT)
(949) 460-9111
Entity
Organization
Contact information
Practice address
26700 TOWNE CENTRE DR, SUITE 100, FOOTHILL RANCH, CA 92610-2844
(949) 460-9111
(949) 460-9055
Mailing address
26700 TOWNE CENTRE DR, SUITE 100, FOOTHILL RANCH, CA 92610-2844
(949) 460-9111
(949) 460-9055
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G77348
CA
Other
Enumeration date
08/22/2012
Last updated
01/25/2018
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