# SHANE RAYOS DEL SOL, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639093453
- **Authorized official:** SHANE RAYOS DEL SOL MD (PHYSICIAN)
- **Authorized official phone:** (714) 457-5866

## Contact information

- **Practice address:** 18035 BROOKHURST ST STE 1100, FOUNTAIN VALLEY, CA 92708-6738
- **Practice address phone:** (714) 861-4888
- **Mailing address:** 18035 BROOKHURST ST STE 1100, FOUNTAIN VALLEY, CA 92708-6738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/05/2026